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Types of early learning and child care (ELCC) vary in quality and developmental impact, yet limited research has examined how parental experiences with ELCC relate to their psychological well-being. This study explored associations among ELCC type, parental satisfaction, and mental health outcomes. Results indicated higher dissatisfaction among parents using non-centre-based care, with most expressing a preference for centre-based care. Parental satisfaction significantly mediated the relationship between ELCC type and mental health, highlighting the psychological toll of unmet care preferences. These findings underscore the importance of aligning ELCC availability with family needs and preferences. Expanding access to preferred care types, particularly centre-based options, may not only benefit children’s development but also support parental well-being and workforce participation.