SRTA  promotes sustainable use of the river and works toward the continued stewardship of the river and surrounding watershed in partnership with private individuals, environmental and recreational organizations, and government agencies at local, county, state, and federal levels. SRTA also works with other organizations toward the goal of a continuous water trail the length of the Susquehanna River and its tributaries.

The 51-mile trail extends from Sunbury to Harrisburg, incorporating 22 campsites on 20 different islands designated for day use and primitive camping. Access sites serve as trail heads with enticing, naturalistic signage welcoming visitors to the River Trail. Canoeing and kayaking are promoted as great ways to experience this unique wilderness.  The River Trail is managed in partnership with the  PA Department of Conservation & Natural Resources, the PA Fish & Boat Commission, and a nonprofit Susquehanna River Trail Association, Inc.   Volunteer individuals or groups can adopt islands to serve as stewards for maintenance, monitoring resource impacts, and tracking public use. Management techniques and use levels will continually be evaluated to insure resource protection and a positive experience for the visitor.