Last month, we reported communities nationwide including Philadelphia are experiencing high rates of 1- to 3-year-olds being suspended or expelled from preschools and day care centers. Preschools are expelling children at a rate three times higher than K-12 schools. We had spoken with Marsha Gerdes, PhD, a senior psychologist at PolicyLab at Children’s Hospital of Philadelphia, who along with the Public Health Management Corporation had participated in a webinar examining the issue. Dr. Gerdes received additional questions and comments from readers from the article. She addresses them below: Why is pre-k important for child development? There is strong research showing children benefit from being in pre-k. Not only do they start kindergarten with the ability to respond to demanding experiences with socially tolerable and flexible emotions, pre-k also sets children up for better academic achievement down the road. Pre-k experience has also been shown to: Increase the amount of time parents and children spend reading together Develop a child’s love of books and reading Teach children how to listen to others and be listened to Give children an understanding of the joy of following routines What is the sequence of events that typically occurs before a child is expelled? Every center deals with behavior incidences in their own way. The worst case scenario is that parents receive no warning before a child is expelled. Usually in this case, the teacher and center director feel helpless and see expulsion as the only choice. More commonly, centers report behavior problems to the parents when they occur and sometimes ask parents to find help for the child. The teacher may also request the child be moved to a different class or spend time out of the room. Occasionally, parents are told there is a safety concern for other class members due to their child’s behavior. Often this is a warning that if the behavior happens again, the family will be either asked or told to withdrawal. The best case scenario is that each teacher tracks behavior problems to identify patterns, such as who was involved or when behaviors occur, and develop strategies with parents to help