School suspensions increase the number of instructional days lost, which has disproportionately impacted underrepresented groups, foster care, or low-income students and led to higher suspension rates in these groups than for the majority population. Loss of instructional time due to these suspensions can heighten disparities in school attendance, academic achievement, and timely graduation. This Science and Technology Note reviews the state's school behavioral health services and considers policy options for West Virginia schools.