A growing concern among parents and educators about the increasing incidence of out-of-school suspensions led to an exploratory study on the impact of in-school alternatives to suspension. Four school districts were visited and a directory of in-school alternatives was compiled. The four programs included the Intervention Room, the Student Temporary Opportunity Program, the In-School Suspension Program, and In-School Suspension/Restriction Rooms. In only two sites did in-school suspension replace out-of-school suspension while data from a third program documented a dramatic drop in the use of out-of-school suspension. Other schools also expressed feelings that alternative programs were successful. In-school suspensions were used with truant and tardy students. All districts displayed flexibility in determining their use of suspension policies as standards changed. Further research is needed in the area of the disciplinary referral process. (JAC)