PACT: Helping Children with Special Needs, an affiliate of the Kennedy Krieger Institute in Baltimore, Maryland, operates a therapeutic nursery that serves families who have at least one child from birth to 3 years of age, and who are living in a Baltimore City homeless shelter. In partnership with the Martin Luther King Early Head Start Program and the University of Maryland Medical System, PACT Therapeutic Nursery provides high-quality child care while parents look for housing and employment. The Therapeutic Nursery also offers mental health, nursing, speech and language therapy, occupational therapy, and physical therapy evaluations and interventions for the children. The homeless children in the nursery demonstrate language delays, delay in the development of imaginative play, and difficulty in their attachment relationships. The nursery's Wee Cuddle and Grow program uses the Nursing Child Assessment Satellite Training (NCAST) tool to strengthen parent-child relationships with interventions that are designed to decrease separation anxiety, improve parent-child communication, and help children express their feelings constructively through play. A retrospective study of 99 mothers and their children found that NCAST scores increased over the course of time spent in the therapeutic nursery.