This research explored the use of adventure therapy in Aotearoa New Zealand, how practitioners have learned their skills, and what they perceive the field needs to support its development. The mixed methods study used interpretive description methodology to analyse focus group and survey data. The field is diverse and includes practitioners from outdoor education, youth work, and therapy professions. They share common understanding of, and passion for adventure therapy practices. Formal learning opportunities are limited, and a Community of Practice model exists. Practitioners should use adventure therapy strategies within their discipline boundaries and practice with a trauma informed lens. The field would benefit from more education and training opportunities, from intentionally strengthening the Community of Practice model, and from Maori research to enhance appropriateness of practice for the unique cultural context of Aotearoa New Zealand.