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Therapeutic recreation is one of the most personally meaningful careers in B.C.’s health care sector — and one of the most directly connected to the demographic forces reshaping the province. As B.C.’s population ages, the need for trained professionals who can support older adults and people with cognitive or physical impairments through purposeful leisure, social, and recreational programming is growing steadily across every type of care setting on Vancouver Island and throughout the province.
According to WorkBC, as B.C.’s population continues to age, the healthcare and social assistance field will see the largest increase in job openings in the next 10 years — with 54% of those openings coming from the need to replace retiring workers, and an additional 46% arising from expansion in the healthcare system in response to the growing medical needs of an ageing population. University of the Fraser Valley Therapeutic recreation activity assistants sit directly within this expanding workforce, supporting the quality of life and well-being of residents across long-term care facilities, assisted living communities, group homes, and adult day care programs.
The role of the activity assistant is distinct from that of a care aide — where HCAs provide personal physical care, therapeutic recreation assistants focus on the life-quality dimension of health: leading music programs, cognitive activities, fitness exercises, social events, reminiscence groups, creative arts, and other recreational programming that addresses the psychological, social, and emotional well-being of residents alongside their physical health. Most activity assistants are employed by healthcare agencies and work in long-term care homes, with additional opportunities in residential homes, community mental health centres, adult day care programs, hospice care, community centres, and private homes. University of the Fraser Valley
This program has been reviewed and approved by the PTIRU and includes a 3-week supervised practicum in Victoria, B.C. — giving graduates real-world experience inside a care setting before they graduate, with the certifications (FoodSafe Level 1, Standard First Aid with CPR Level C, and Provincial Violence Prevention Certificate) that B.C. care employers require.
Sources: WorkBC — Program Leaders and Instructors, Recreation | Government of Canada Job Bank | University of the Fraser Valley — Activity Assistant Program Context
Graduates of the Therapeutic Recreation Activity Assistant diploma are prepared for activity coordination and recreational programming roles across B.C.’s seniors’ care and community health sector. Career opportunities include:
Direct Activity & Recreation Roles:
- Activity Aide
- Activity Worker
- Activity Assistant
- Activity Leader
- Recreation Aide
- Recreation Assistant
- Recreation Worker
- Therapeutic Recreation Assistant
Setting-Specific Titles:
- Long-Term Care Recreation Assistant
- Assisted Living Activity Worker
- Group Home Activity Leader
- Adult Day Care Program Assistant
- Dementia Care Activity Aide
- Hospice / Palliative Recreation Assistant
With Experience:
- Activity Coordinator (Senior)
- Recreation Coordinator (with further education)
- Wellness Program Coordinator
Common employer types include healthcare agencies, long-term care homes, residential homes, community mental health centres, adult day care programs, hospice care settings, and community centres. University of the Fraser Valley In the Victoria and Greater Victoria region, employers include Island Health’s residential care sites, private care operators such as CareCorp Seniors Services and Retirement Concepts, non-profit care societies, and community health organizations operating across Vancouver Island.
Therapeutic recreation activity assistants work in some of the most human-centred and relationship-rich environments in B.C.’s health care sector — settings where the work they do directly and visibly improves the quality of daily life for the residents and clients they serve:
Long-Term Care & Complex Care Facilities: The primary employment setting for activity assistants — residential care facilities employ therapeutic recreation staff to deliver daily programming that supports cognitive engagement, physical activity, social connection, and emotional well-being for residents with varying levels of impairment. Victoria and the Greater Victoria area have a strong network of care facilities, operated by Island Health, private operators, and non-profit care societies, all of which employ activity aides and recreation workers.
Assisted Living Communities: Assisted living facilities serve seniors who require some support but wish to maintain their independence — and therapeutic recreation programming is central to the life enrichment model of these settings. Activity assistants in assisted living environments work with residents on a more individualized basis, tailoring programming to personal interests and abilities.
Adult Day Care Centres: Day programs for seniors and adults with disabilities employ activity workers to deliver structured, social, and therapeutic programming during daytime hours — a setting well-suited to graduates who prefer regular daytime schedules and a community-based rather than residential care environment.
Group Homes: Residential group homes for adults with cognitive or physical disabilities employ therapeutic recreation assistants to support leisure participation, social skill development, and community engagement — roles that draw directly on the dementia care, person-centred care, and leisure education components of this diploma.
Memory Care & Dementia Units: Specialized dementia care units within residential facilities require activity staff with specific training in working with people experiencing cognitive decline — skills covered directly in the program’s Practical Approach to Dementia course. B.C. care home employers specifically seek graduates with recreational or therapeutic certification and FoodSafe Level 1, First Aid/CPR, and WHMIS credentials. WorkBC
Hospice & Palliative Care: Victoria has an active hospice and palliative care network, and therapeutic recreation assistants trained in person-centred care and communication skills play a meaningful role in supporting resident quality of life in these settings.
A career as a therapeutic recreation activity assistant in B.C. offers stable health care wages with genuine advancement potential as experience, additional certification, and seniority build over time.
The current page’s salary estimate — $18 to $29 per hour — reflects the realistic entry-to-experienced range for activity aide roles across B.C.’s care settings. At the upper end of this range, recreation aide positions in B.C. long-term care facilities have been actively posted at $29.83 per hour Workopolis — a competitive rate aligned with collective agreement scales for care sector support workers in publicly funded facilities.
The program’s page also cites an average annual salary of $47,117 for therapeutic recreation activity assistants in Vancouver (Indeed, 2025) at an average hourly rate of $24.54 in the Vancouver area — providing a useful national market reference for the role.
Graduates who choose to advance their careers over time have clear pathways available. Activity assistants with several years of experience and additional education in therapeutic recreation or recreation and leisure studies can progress to Activity Coordinator and Recreation Coordinator roles — positions that carry both higher compensation and increased responsibility for programming design, staff supervision, and resident care planning. Moving into a more senior role typically means overseeing multiple service areas, requiring budgeting, human resources, and leadership skills in addition to direct programming expertise. WorkBC
Sources: WorkBC — Program Leaders and Instructors, Recreation | Government of Canada Job Bank | Workopolis — BC Activity Aide Postings









