Many states, including Utah, have very strict and clear rules for the operation of therapeutic programs. As the past head of a therapeutic school, James can attest personally to the rigors of licensing in Utah. There are three main reasons so many programs are located in Utah: first, Utah and other western states are rich with spectacular desert and mountain terrain. This terrain and varied climate offer a perfect outdoor setting for recreational therapy. Secondly, along with the availability of wilderness terrain, the state of Utah has successfully developed the adequate regulation required to operate therapeutic wilderness programs on public and private lands. And finally, the prevalence at Utah universities in post-graduate Master’s and Doctoral programs in School Counseling, Marriage and Family Therapy, Social Work, Recreational Therapy, and Psychology, along with the development of second- and third-generation programs started by professionals who have been in this field for nearly three decades, ensures a strong professional network in Utah and availability of programs. One of the benefits of working with Meyer EFS is that our location in the midst of these programs. We know them intimately. We personally love the beauty, serenity, and availability of outdoor recreation in the West. We have raised our children here and are proud to call it home.