Developmentally, these child caretakers have shown certain positive associations that affect their future resilience in the face of adversity. Caring for disabled parents raises their sense of responsibility and maturity, increases social and life skills, fosters closer parent-child relationships, and enhances a child’s early sense of purpose. Children caring for sick or disabled parents also experience less anxiety surrounding their parents compared to children who have an additional caregiver for their disabled parent. This is because the children understand more about the illness and feel more in control over the situation.[22]
There is a great deal of empirical evidence that shows how higher child care costs have a negative impact on mothers’ employment. Mothers are more likely to leave employment and less likely to start new jobs when the costs of child care are high. It is also difficult for parents to keep their jobs when they do not have access to consistent quality child care. A study conducted by Jeffrey D. Lyons in North Carolina found that about one in four families who were on a waitlist for child care assistance either lost or had to quit their jobs while they waited for an opening.
Some jurisdictions require licensing or certification. Parents may also turn to independent rating services, or rely on recommendations and referrals. Some places develop voluntary quality networks, for example in Australia most childcare services are part of a national Quality Assurance system. Some places require caregivers to take classes in pediatric CPR and first aid. Most countries have laws relating to childcare, which seek to keep children safe and prevent and punish child abuse. Such laws may add cost and complexity to childcare provision and may provide tools to help ensure quality childcare.

Each of the NIH sponsored child care centers provides high quality child care, based on current early childhood best practices.  However, each program has its own unique program characteristics and dynamics.  Below is a link to a side-by-side comparison chart of the Maryland centers.  As a parent, it is up to you to research each center to determine which center would be a good fit for your family.  You can obtain additional information by contacting the programs directly to request a tour.


In a childcare center, teachers focus on the physical and mental developments of their students. In order to have a greater understanding of the student, teachers in centers must incorporate a relationship with their students that benefits their wants and needs while pushing them toward a higher set of values. This type of teaching with a caring relationship will improve a student's moral and incidental learning.[10]
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