This study was examined the therapeutic recreation service delivery, outcome model, and leisure education programs based on the models described in an extensive review of related literature. Throughout the last several decades, leisure education models have been used to describe the scope and nature of leisure education programs and therapeutic models. Changes in health and human services require updating our models to accurately reflect current practices. The therapeutic recreation service delivery and outcome models provide a comprehensive overview of contemporary professional therapeutic recreation practice. Leisure education programs were developed by Bullock and Howe and Dunn and Wilhite. These programs were designed to facilitate greater feelings of competence and enhanced participation. The programs allowed elders to take a realistic look at their present repertoire of leisure activities and assess the extent to which they are still meeting their leisure needs. The mail philosophy of these models are individualized to meet the needs of each subject and based on cognitive behavior modification principles with an emphasis on personal responsibility and problem-solving. The participant is at the center of the process from start to finish.