Member care has become a specialized discipline within missions, drawing on the contributions of Christian counseling and psychology, pastoral care, and human resource development. Much is happening in the international member care community, especially in North America and Europe. This article highlights some of the key developments that have shaped and are shaping this field. It also points out the need to develop and prioritize additional supportive resources for those working among unreached people groups and for agencies from the “Newer Sending Countries” (Asia, Africa, and Latin America). The article closes with five suggestions—“PACTS”— for further developing this crucial field, calling upon the various member care streams to purposefully join together on behalf of the missions community.