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A statewide survey was conducted to characterize ECE suspension and expulsion (S\/E) in Colorado. Child, program, and community\u2010level factors were examined as predictors of S\/E, alongside preventative intervention supports capable of reducing S\/E. Six hundred and sixty three licensed child care programs participated in the survey, providing information on 19,848 enrolled children, 312 suspensions, and 74 expulsions. A series of multilevel hierarchical regressions were conducted, examining predictors for S\/E. Children with IEPs\/IFSPs were disproportionately suspended; 2\u20133\u2010year\u2010olds were disproportionately expelled; and boys, 5\u20136\u2010year\u2010olds, and children with disabilities were disproportionately suspended and expelled. Center\u2010based programs, lower quality ratings, and \u201czero tolerance\u201d policies predicted greater use of suspension. In contrast, school\u2010district affiliation and knowledge of how to access infant and early childhood mental health consultation (IECMHC) decreased suspension. Lower levels of regional child poverty predicted higher use of expulsion. Affiliation with a school\u2010district, IECMH consultant\u2010led training, and use of quality coaches predicted decreased expulsion. This study identifies the need for ongoing protection for children with IEPs\/ IFSPs and the preventative interventions that mitigate risk for S\/E.<\/jats:p>","DOI":"10.1002\/imhj.21944","type":"journal-article","created":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T04:01:26Z","timestamp":1632974486000},"page":"767-783","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Suspension and expulsion in Colorado early care and education settings: Child, program, and community\u2010level predictors"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2829-8163","authenticated-orcid":false,"given":"Elly","family":"Miles","sequence":"first","affiliation":[{"name":"Department of Psychology University of Denver  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Stoker","sequence":"additional","affiliation":[{"name":"MCH Epidemiology and Early Childhood Evaluation Program Colorado Department of Public Health and the Environment  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neda","family":"Senehi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Colorado Anschutz Medical Campus  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordana","family":"Ash","sequence":"additional","affiliation":[{"name":"Office of Early Childhood Colorado Department of Human Services  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Schlueter","sequence":"additional","affiliation":[{"name":"Office of Early Childhood Colorado Department of Human Services  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carsten","family":"Baumann","sequence":"additional","affiliation":[{"name":"Office of Early Childhood Colorado Department of Human Services  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Barney","sequence":"additional","affiliation":[{"name":"Office of Early Childhood Colorado Department of Human Services  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,29]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Administration for Children and Families(2015).Expulsion and suspension prevention webinar series webinar 2: reducing suspension and expulsion practices in early childhood department of health and human services. 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