This study aims to systematize a model for a multicomponent therapeutic recreation program centered on elderly people with mild cognitive impairment through a systematic and objective research method centered on the theoretical basis of therapeutic recreation (TRAM) as a non-pharmacological intervention, and to develop a practical program that can be applied and operated according to the environment and situation. The research results derived through two research procedures based on the therapeutic recreation responsibility model are as follows. First, in the program planning and planning stage, the final guideline was composed of four major categories, 13 medium categories, and 46 small categories of intervention types based on the characteristics of the therapeutic activity content. In addition, it was confirmed that in order to apply or apply therapeutic activities in clinical settings, the purpose of each intervention type, target of application, application location, detailed activities, participation type, recommendations for appropriate sessions, expected effects, and precautions must be presented. Second, in the implementation and evaluation phase, the program intervention was found to have improved physical functions (static balance, dynamic balance, walking ability, and daily living ability) and had a positive effect on cognitive function and psychological well-being.