Therapeutic Recreation

A student in the Therapeutic Recreation program runs a physical therapy session

Remove barriers and plan meaningful leisure activities to help others

Overview

Co-op

Careers

Admissions

Common questions

Contact us

Discover how recreation can improve quality of life for everyone, including people with physical and developmental disabilities, older adults living in long-term care homes, people with substance use disorders, and children with chronic illnesses.

In Waterloo’s Therapeutic Recreation program — one of only three in Ontario — you’ll learn how to create, implement, and assess activities that support cognitive, physical, emotional, and social well-being. Not to mention you can apply what you've learned to any co-op job you land through the co-op stream.

By the time you graduate, you’ll have the skills to pursue careers like recreation and occupational therapy. The programs you design and run can empower seniors to live more independently, improve the long-term health of stroke patients, and more.

You’ll also graduate eligible to apply for registration with Therapeutic Recreation Ontario and for certification with the National Council for Therapeutic Recreation Certification.

What courses will you take in Therapeutic Recreation?

First-year courses

You'll take mostly Recreation and Leisure Studies courses to provide you with strong foundations for your upper-year classes. After first year, about half of the classes you’ll take will be Recreation and Leisure Studies courses.

September to December

January to April

  • REC 151 – Foundations of Therapeutic Recreation Practice
  • HEALTH 150 – Foundations of Human Anatomy and Physiology
    • Three electives

This is a sample schedule. Courses or when a course is offered may change depending on availability.

After first year

About half of the classes you’ll take will be Recreation and Leisure Studies courses. With your remaining classes, you can choose electives from many of the 100 subject areas at Waterloo.

You'll take REC 450, a mandatory 560-hour internship, where you get to practice what you're learning in the real world.

View all the courses required for your degree.

Sample upper-year courses

REC 251 – Therapeutic Recreation: Developmental and Emotional Disabilities
REC 252 – Therapeutic Recreation: Physical Disabilities
REC 253 – Practicum in Therapeutic Recreation
REC 351 – Therapeutic Recreation Facilitation Techniques

Customize your degree

Add areas of expertise to your degree by pursuing areas of focus within the program or by choosing a double major, joint honours, or the Event Management minor. You can add additional areas of interest by including one or more of the minors available to all Waterloo students. Popular choices include Addictions, Mental Health, and Policy; Gerontology; and Social Development Studies.

View on YouTube

Faculty:
Faculty of Health

Degree:
Bachelor of Arts in Therapeutic Recreation

Available as a co-op program?
Yes

Available as a regular program?
Yes

Available as a minor?
No

Build an awesome résumé. Get plenty of hands-on experience through practical courses, volunteer placements, and a required full-time internship in fourth year. Plus, we're the only such program in Ontario to offer multiple co-op terms.

15 electives = lots of choice. With 15 electives from disciplines that can include social work, psychology, and health, you’ll have the flexibility to shape your degree according to your specific interests.

Co-op = relevant paid work experience

Waterloo's co-op program, the largest in North America, is an amazing way to explore potential careers, learn to interview for jobs, graduate with up to two years of valuable experience — and make money!

Sample co-op job titles

  • Recreation therapist
  • Child and youth worker
  • Community recreation facilitator
  • Therapeutic recreation and community assistant
  • Research assistant

Co-op work-study sequence

Starting in second year, you'll normally alternate between school and work every four months, integrating your classroom learning with real-world experience. You can return to the same employer for a couple of work terms to gain greater knowledge and responsibility or work for different employers to get a broad range of experience.

Year September to December (Fall) January to April (Winter) May to August (Spring)
First Study Study Off
Second Study Co-op Study
Third Co-op Study Co-op
Fourth Study Co-op Study
Fifth Co-op Study -

Your first work term will be halfway through second year (January to April 2026).

Learn more about co-op →

What can you do with a degree in Therapeutic Recreation?

As a graduate, you can work with clients in settings ranging from long-term care facilities to local community agencies. You’ll also be eligible to apply for registration with Therapeutic Recreation Ontario and for certification with the National Council for Therapeutic Recreation Certification in the United States.

Recent graduates

  • Vocational instructor — Ontario Shores Centre for Mental Health Sciences
  • Child life specialist — Hospital for Sick Children
  • Therapy assistant — Mackenzie Innovation Institute
  • Recreation therapist — West Park Healthcare Centre
  • Counsellor — Alzheimer Society of Peel
  • Outreach worker — St. Matthew’s House
  • Communications officer — Carey Outreach Ministries

Graduate stories

Learn about what recent graduates are doing with their degree

Learn more about the future of careers in health and helping professions.

Read profiles and view videos about the path Recreation graduates took to pursue their career.

Further education

While the full range of further education depends on your individual interests, graduates commonly pursue a master's, PhD, or other professional health-care program in occupational therapy, physiotherapy, social work, and public health.

Tuition fees for the Faculty of Health

First-year tuition

Type of fees Tuition (8 months of school)
Domestic (Ontario residents) $9,000
Domestic (Out of province students) $9,000
International (visa students) $50,000
     
  • Estimated amounts listed include incidental fees. Fees based on 2024-25 tuition rates.
  • Visit our financing page to learn about scholarships, estimate your total expenses, and see how co-op can help pay for your education.

Common questions about the program

Why do I apply for Recreation and Leisure Studies to study Therapeutic Recreation?

Recreation and Leisure Studies is the entry program - or gateway - to three distinct majors: Recreation, Leadership, and Health; Sport and Recreation Management; and Therapeutic Recreation. You'll apply to Recreation and Leisure Studies and pick Therapeutic Recreation as your major on your application. Once you confirm your Offer of Admission, we'll enroll you in Therapeutic Recreation.

Though each of the majors has a different focus, specialized courses, and unique identity, you'll be a part of the whole Recreation and Leisure Studies community and get to know students outside your major too!

What do recreation therapists actually do?

While this program can lead to a range of careers, many graduates choose to work as recreation therapists. Recreation therapists "use recreation, leisure, and play as treatment modalities to support purposeful and meaningful interventions that are based on individual strengths and values, and are guided by assessments." (Canadian Therapeutic Recreation Association)

What’s the difference between Therapeutic Recreation and similar programs at other universities?

Waterloo’s program includes an overview of the entire recreation and leisure sector and has developed a solid reputation amongst employers. We work with a large network of organizations for our 105-hour practicum and 560-hour internship requirements, and with additional experiential learning opportunities like co-op and our EDGE certificate program, you’ll have a distinct advantage when applying to careers or further studies.

As a Waterloo graduate, you can also be eligible for registration with Therapeutic Recreation Ontario (TRO) and certification with the National Council for Therapeutic Recreation Certification (NCTRC).

What’s the difference between a diploma and a degree in Therapeutic Recreation?

According to the Canadian Therapeutic Recreation Association, "recreation therapists need a bachelor’s degree, usually in a recreation therapy or related field such as recreation and leisure studies with an emphasis or concentration in recreational therapy/therapeutic recreation. The bachelor’s degree program usually includes the following programs along with an internship: assessment, foundations, interventions, human anatomy, psychology, and courses on specific demographics."

How long does it take to complete this program?

  • It takes four years to complete this program as a full-time student through the regular system of study in which you’ll take courses between September and April each year and have your summers off.
  • You can also choose the co-op system of study where you’ll alternate between full-time studies and full-time jobs relating to your program. A co-op program takes five years to complete — and you’ll graduate with nearly two years of paid work experience.
  • It could also be completed over a longer period as a part-time program.

Is this program available online?

No. While you may be able to take some courses online, most courses required for the degree are available through in-person classes only.

megaphone icon
"I’m convinced my acceptances into occupational therapy post-graduate programs was due to my practicum, internship, and paid co-op work experiences in Therapeutic Recreation. These experiences were so valuable." Esther, Therapeutic Recreation graduate
megaphone icon
"Therapeutic Recreation is really versatile and easy to customize! If you're interested in art and music or enjoy working with children or older adults, you can take courses in those areas and customize your degree based on your interests and goals." Taryn, fourth-year Therapeutic Recreation student

Admission requirements

Ontario students: six Grade 12 U and/or M courses including

  • Any Grade 12 U English (minimum final grade of 70% is required)

Admission average: Low 80s (co-op and regular)

Not studying in Ontario? Search our admission requirements for Recreation and Leisure Studies (RLS). You'll apply to RLS for the Therapeutic Recreation major.

How to apply

You'll apply to Recreation and Leisure Studies and choose Therapeutic Recreation as your major.

If you're admitted to the program, your Offer of Admission will be to Recreation and Leisure Studies. Once you accept your offer, you’ll be enrolled in Therapeutic Recreation and start that major in September.

Related programs

Recreation, Leadership and Health

Sport and Recreation Management

Social Development Studies

Sociology

Sign up for insider advice that can help you now and in the future.

Topics include how to choose a program, what it's like to be a Waterloo student, the differences between high school and university, and more.

Connect with a current student ambassador to learn about their experience in the program.

Ask them questions such as why they chose Therapeutic Recreation, what the classes are like, and how you can get involved on campus.

Connect with us

vivienne hang

Questions about courses, programs, requirements, or careers?

Please contact Vivienne Hang, our Faculty of Health recruitment co-ordinator who can answer any questions you have.

You can also learn more about Therapeutic Recreation by viewing our digital program brochure.