One State’s Systems Change Efforts to Reduce Child Care Expulsion: Taking the Pyramid Model to Scale

This article describes the efforts of one state to address unacceptably high rates of child care expulsion. The primary policy initiative involved the funding of a center to develop model sites, a state-level planning team, ongoing practitioner training, and certification of coaches and trainers all built around the Pyramid Model. Results showed showed a dramatic reduction in expulsion rates and a corollary increase in providers’ teaching of prosocial skills to children with challenging behavior.