Early Education Suspension and Expulsion: Newly Released AAP Policy Guidelines

J Pediatr Health Care. 2025 Jan-Feb;39(1):130-135. doi: 10.1016/j.pedhc.2024.09.006. Epub 2024 Oct 15.

Abstract

Childcare and early educational programs provide children with the opportunities to learn and develop social skills prior to being introduced into the academic system. Suspension and expulsion from childcare and early education programs occur in high numbers and can cause life-long detrimental effects for children. Federal and state legislation has made advances over the years, but further development and implementation of universal policies are needed in order to reduce the number of young children being suspended and expelled. Pediatric nurse practitioners have a unique role in screening, identifying, and intervening when children are at risk or have experienced exclusionary discipline tracts.

Keywords: Suspension and expulsion; developmental milestones; federal and state legislation; policy; school readiness, childcare and early education.

MeSH terms

  • Child
  • Child Care / standards
  • Child, Preschool
  • Early Intervention, Educational
  • Health Policy
  • Humans
  • Infant
  • Pediatric Nurse Practitioners* / education
  • Practice Guidelines as Topic
  • United States