Recreational therapists held about 24,000 jobs in 2004. About 6 out of 10 were in nursing care facilities and hospitals. Others worked in State and local government agencies and in community care facilities for the elderly, including assisted-living facilities. The rest worked primarily in residential mental retardation, mental health, and substance abuse facilities; individual and family services; Federal Government agencies; educational services; and outpatient care centers. Only a small number of therapists were self-employed, generally contracting with long-term care facilities or community agencies to develop and oversee programs.