Prior to the current amendment, in 1987, the Therapeutic Recreation Certification Board was created for consumer protection. The original act offered title protection so individuals using "TRS" or "Therapeutic Recreation Specialist" were required to be certified by the Board. Many agencies did not use the title which allowed non-qualified people to practice recreational therapy. In Oct, 2005 an amendment was enacted to the Recreational Therapy Licensure Act, requiring individuals practicing recreational therapy in accordance with the professional standards of practice be licensed regardless of their job title. Recreational Therapists and Recreational Therapy Assistants in North Carolina must be licensed by the North Carolina Board of Recreational Therapy (NCBRTL).