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Addressing Early Education and Child Care Expulsion
P Gail Williams1, Michael Yogman2,
1Department of Pediatrics, University of Louisville School of Medicine, Louisville, Kentucky.
Pediatrics
|October 30, 2023
Summary
Preschool expulsion harms children, especially those of color. Pediatricians can prevent this by addressing implicit bias, providing mental health support, and connecting families with resources to foster emotional self-regulation.
Area of Science:
- Early Childhood Education
- Child Psychology
- Pediatric Medicine
Background:
- Preschool expulsion negatively impacts children's long-term educational and life success.
- Expulsion disproportionately affects children of color, males, children with disabilities, and socioeconomically disadvantaged populations.
- Underlying emotional and behavioral concerns are often ignored in expulsion decisions.
Purpose of the Study:
- To highlight the role of pediatricians in preventing preschool expulsion.
- To emphasize the need for enhanced pediatrician training in early childhood mental health and implicit bias.
- To advocate for integrated child mental health consultation in early childhood settings.
Main Methods:
- Identifying at-risk children based on factors like poverty, trauma, and insecure attachment.
- Connecting families with community resources to mitigate adverse effects.
- Educating parents on social-emotional development and positive parent-child relationships.
Main Results:
- Pediatricians can provide crucial information and guidance to families and child care providers.
- Addressing implicit bias and systemic racism is key to preventing discriminatory expulsion practices.
- Integrated behavioral health providers can offer valuable consultation to child care settings.
Conclusions:
- Pediatricians are vital in preventing preschool expulsion by supporting families and child care providers.
- Enhanced training for pediatricians on mental health and systemic issues is necessary.
- Early intervention and supportive environments are crucial for optimal child development and resilience.
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