Patterns of career development in the field of child and youth care are reexamined in relation to roles that involve working directly with children in specific settings as well as in relation to roles that involve working indirectly in support of children through working with other adults, be these parents, other caregivers or professionals. Other career roles involve working in support of human service systems that impact on the care of children and young people and influence family welfare. Finally, some career roles involve working at the macro level to formulate policies that shape the culture of caring communities to support the health and well-being of children. Each career role presents important challenges and offers valuable opportunities for influencing the lives of children, young people and their families.