This study presents a detailed overview of promising practices in child care reform by different implementers and stakeholders in the Latin American and Caribbean region. Changing the Way We Care puts forth its view of comprehensive care reform as consisting of three essential components: (i) strengthening the family and preventing the unnecessary separation of the child from his or her family environment, (ii) deinstitutionalization processes; and (iii) strengthening alternative family care. The study was developed through a comprehensive desk review as well as virtual and written interviews with more than 40 stakeholders throughout the region and beyond. The report provides specific recommendations for accelerating and deepening care reform in the region as well as recommendations for the development of a regional care reform strategy.