Human development is built on transition. Each progression from infancy to childhood to adolescence to adulthood is a series of smaller developmental transitions that occur in individual minds and bodies over time. Early childhood is particularly full of social and emotional transitions that occur because of external circumstances. Navigating these external transitions in early childhood is critical to healthy development. This research brief focuses on the external transitions of children from one early care and education (ECE) setting to another. Child Care Aware of Kentucky has conducted research on this topic in order to provide professional development for childcare providers and directors across the state of Kentucky. Their offerings include a series of modules on External Transitions in Early Care and Education -- Implications of Suspension and Expulsion on Children, Families, and Providers that include a focus on prevention and evidence-based practices, impacts on children and families, and programmatic impacts.