Alternative high schools for students at risk of dropping out
Evidence Ratings
Scientifically Supported: Strategies with this rating are most likely to make a difference. These strategies have been tested in many robust studies with consistently positive results.
Some Evidence: Strategies with this rating are likely to work, but further research is needed to confirm effects. These strategies have been tested more than once and results trend positive overall.
Expert Opinion: Strategies with this rating are recommended by credible, impartial experts but have limited research documenting effects; further research, often with stronger designs, is needed to confirm effects.
Insufficient Evidence: Strategies with this rating have limited research documenting effects. These strategies need further research, often with stronger designs, to confirm effects.
Mixed Evidence: Strategies with this rating have been tested more than once and results are inconsistent or trend negative; further research is needed to confirm effects.
Evidence of Ineffectiveness: Strategies with this rating are not good investments. These strategies have been tested in many robust studies with consistently negative and sometimes harmful results. Learn more about our methods
Strategies with this rating are most likely to make a difference. These strategies have been tested in many robust studies with consistently positive results.
Disparity Ratings
Potential to decrease disparities: Strategies with this rating have the potential to decrease or eliminate disparities between subgroups. Rating is suggested by evidence, expert opinion or strategy design.
Potential for mixed impact on disparities: Strategies with this rating could increase and decrease disparities between subgroups. Rating is suggested by evidence or expert opinion.
Potential to increase disparities: Strategies with this rating have the potential to increase or exacerbate disparities between subgroups. Rating is suggested by evidence, expert opinion or strategy design.
Inconclusive impact on disparities: Strategies with this rating do not have enough evidence to assess potential impact on disparities.
Strategies with this rating have the potential to decrease or eliminate disparities between subgroups. Rating is suggested by evidence, expert opinion or strategy design.
Evidence Ratings
Scientifically Supported: Strategies with this rating are most likely to make a difference. These strategies have been tested in many robust studies with consistently positive results.
Some Evidence: Strategies with this rating are likely to work, but further research is needed to confirm effects. These strategies have been tested more than once and results trend positive overall.
Expert Opinion: Strategies with this rating are recommended by credible, impartial experts but have limited research documenting effects; further research, often with stronger designs, is needed to confirm effects.
Insufficient Evidence: Strategies with this rating have limited research documenting effects. These strategies need further research, often with stronger designs, to confirm effects.
Mixed Evidence: Strategies with this rating have been tested more than once and results are inconsistent or trend negative; further research is needed to confirm effects.
Evidence of Ineffectiveness: Strategies with this rating are not good investments. These strategies have been tested in many robust studies with consistently negative and sometimes harmful results. Learn more about our methods
Strategies with this rating are most likely to make a difference. These strategies have been tested in many robust studies with consistently positive results.
Disparity Ratings
Potential to decrease disparities: Strategies with this rating have the potential to decrease or eliminate disparities between subgroups. Rating is suggested by evidence, expert opinion or strategy design.
Potential for mixed impact on disparities: Strategies with this rating could increase and decrease disparities between subgroups. Rating is suggested by evidence or expert opinion.
Potential to increase disparities: Strategies with this rating have the potential to increase or exacerbate disparities between subgroups. Rating is suggested by evidence, expert opinion or strategy design.
Inconclusive impact on disparities: Strategies with this rating do not have enough evidence to assess potential impact on disparities.
Strategies with this rating have the potential to decrease or eliminate disparities between subgroups. Rating is suggested by evidence, expert opinion or strategy design.
Community conditions, also known as the social determinants of health, shape the health of individuals and communities. Quality education, jobs that pay a living wage and a clean environment are among the conditions that impact our health. Modifying these social, economic and environmental conditions can influence how long and how well people live.
Learn more about community conditions by viewing our model of health.
Retired strategies are no longer updated.
Alternative high schools provide educational opportunities for students whose needs are not met by a traditional school model, often, students who have quit, been expelled, or are at increased risk of dropping out. Alternative schools generally offer services such as childcare or support groups, have a flexible structure, supportive environments, and small classes, and emphasize interactions between teachers and students. Such schools are frequently established in communities with low incomes and housed outside of traditional schools. Alternative high schools are distinct from community-based alternative education programs for students at risk of dropping out that supplement traditional high school learning1.
What could this strategy improve?
Expected Benefits
Our evidence rating is based on the likelihood of achieving these outcomes:
Increased high school completion
What does the research say about effectiveness?
There is strong evidence that alternative high schools for students at risk of dropping out improve high school completion rates1, 2. On average, alternative schools increase completion rates among students at risk of dropping out by 15.5%1.
Interviews with students at risk of dropping out suggest that students are more likely to stay in alternative high schools that provide safe spaces physically, emotionally, and psychologically; foster a sense of community; affirm students’ racial/ethnic identities; and use flexible disciplinary systems based on discussion and conflict resolution3.
Implementation challenges such as staffing or funding difficulties, problems with the physical space, and low program attendance or completion rates can reduce the effectiveness of alternative high schools2.
The cost of alternative schools varies significantly, ranging from $1,700 to $12,900 per student. The estimated benefit to cost ratio for alternative schools ranges from 0.6 to 1 to 1.6 to 11.
How could this strategy advance health equity? This strategy is rated potential to decrease disparities: supported by strong evidence.
There is strong evidence that alternative high schools for students at risk of dropping out have the potential to reduce disparities in academic achievement by increasing high school completion rates or high school equivalency achievement among students of color and students from low income backgrounds1, 2. Available data shows alternative schools disproportionately serve students who are Black and Hispanic, who are English language learners, who have disabilities, who are male, and who live in urban areas9. Overall, students who are Hispanic, Black, or Native American graduate from high school at lower rates than students who are white or Asian10. A wide range of factors may be related to dropout rates, including adverse childhood experiences (ACEs), making students repeat grades, and discrimination11, 12, 13.
Experts suggest that efforts to prevent school drop-out should include increasing access to many services both in school and in the community, including mentoring, additional academic assistance, behavioral interventions, basic needs programs, family support services, college preparation counseling, and more14.
What is the relevant historical background?
Disparities in educational opportunities in the U.S. are shaped by many factors, including a long history of racial segregation in schools. The public school system in the U.S. continues to be highly segregated and schools in different neighborhoods have vastly different resources available since school financing largely depends on local property taxes. Discriminatory housing, lending, and exclusionary zoning policies have entrenched racial residential segregation, reduced local property values, and concentrated poverty15, 16. Students of color, especially Black, Hispanic, and Native students, are much more likely to attend school districts with high poverty rates and fewer resources than white students17.
Student absenteeism is one of the primary factors that drives high school drop-out rates. Students are absent from school for many reasons. For example, students cannot attend when they are sick, and in some cases, they may also have to miss school to care for a sick sibling when parents do not have sick days, flexible work arrangements, or affordable alternative childcare arrangements. Housing instability, evictions, and homelessness can also force students to miss school. In some cases, students refuse to attend school to avoid bullying and violence. Other students are absent when they do not feel that school is a worthwhile place for them18. Students of color, students living in poverty, students from single-parent families, students with limited English language skills, and students with disabilities are more likely to be chronically absent18.
Alternative schools were developed as an innovative part of the American public school system in the 1960s and became more common in the 1970s19. During the 1980s and 1990s, many alternative schools as well as state and local policies for alternative schools began to focus more on behavioral management and remedial education specifically for students struggling in traditional settings with low achievement and with chronically disruptive or violent behavior19.
Equity Considerations
- Who is at risk of dropping out of school in your community? What factors, such as external influences, like the need to work a job, or internal influences, like hostile or discriminatory learning environments, are increasing their risk?
- How can your community better understand who leaves school and why? Are there community or non-profit organizations you could partner with to help understand risk factors and enhance high school completion program resources and opportunities, including alternative high schools?
- Who is making decisions about allocating school support resources for students at risk of dropping out in your community? Including implementing alternative high schools? How could you involve parents, students, and other stakeholders and strategic partners in those decisions?
Implementation Examples
Alternative education programs have been formally defined in 43 states; definitions vary, but usually include guidelines about services, for example, regular academic instruction (21 states), counseling (14 states), social and life skills training (13 states), vocational and workplace preparation (12 states), or behavioral services (e.g., anger management or conflict resolution) (11 states)4.
In the 2007-2008 school year, there were about 10,300 alternative schools or alternative education programs for students at risk of dropping out administered by school districts across the country; approximately 63% of these schools or programs were offered in facilities outside of traditional public schools5. University High School in Boston, MA and Middle College High School in Seattle, WA are examples of alternative high schools that offer enhanced social services, flexible enrollment policies, small classes, counseling and mentoring support, and vocational training and work experiences6, 7.
Several national non-profit organizations have developed alternative education programs into pathways to earn high school diplomas or GEDs. For example, The Corps Network supports students earning high school diplomas or GEDs with more personal attention in the classroom; comprehensive academic, career, and personal counseling; and job skills training8.
Implementation Resources
‡ Resources with a focus on equity.
NDPC-Alternative schools - National Dropout Prevention Center (NDPC). (n.d.). Alternative schooling. Retrieved April 23, 2025.
NDPC-Addis 2020 - Addis, S., Greer, K., & Dunlap, L. (2020). Effective strategies for alternative school improvement: A practice guide by the National Dropout Prevention Center. National Dropout Prevention Center (NDPC).
PSR-State search - Public School Review (PSR). Find public schools: Search public schools by state.
Urban-Aron 2006 - Aron LY. An overview of alternative education. Washington, D.C.: Urban Institute; 2006.
Footnotes
* Journal subscription may be required for access.
1 CG-HS Completion - The Guide to Community Preventive Services (The Community Guide). High school completion programs.
2 Campbell-Wilson 2011 - Wilson SJ, Tanner-Smith EE, Lipsey MW, Steinka-Fry KT, Morrison J. Dropout prevention and intervention programs: Effects on school completion and dropout among school-aged children and youth: A systematic review. Campbell Systematic Reviews. 2011:8.
3 O’Gorman 2016 - O’Gorman E, Salmon N, Murphy CA. Schools as sanctuaries: A systematic review of contextual factors which contribute to student retention in alternative education. International Journal of Inclusive Education. 2016;20(5):536-551.
4 IES-Porowski 2014 - Porowski A, O’Conner R, Luo JL. How do states define alternative education? Washington, D.C.: U.S. Department of Education (U.S. ED), Institute of Education Sciences (IES), National Center for Education Evaluation and Regional Assistance (NCEE), Regional Educational Laboratory Mid-Atlantic (REL); 2014.
5 NCES-Rouse Carver 2010 - Rouse Carver P, Lewis L. Alternative schools and programs for public school students at risk of educational failure: 2007–08. Washington, D.C.: U.S. Department of Education (U.S. ED), National Center for Education Statistics (NCES); 2010.
6 ABCD-UHS - Action for Boston Development (ABCD). University High School (UHS).
7 SPS-MCHS - Seattle Public Schools (SPS). Middle College High School (MCHS): An alternative high school option.
8 TCN-Impacts - The Corps Network (TCN). Our impact.
9 Urban-Kho 2022 - Kho, A. and Rabovsky, S. (2022). The students alternative schools serve: An essay for the learning curve. The Urban Institute. Retrieved April 23, 2025.
10 NCES-Young adult education - U.S. Department of Education (U.S. ED), Institute of Educational Sciences (IES), National Center for Education Statistics (NCES). Educational attainment of young adults.
11 Hughes 2017 - Hughes JN, Cao Q, West SG, Allee Smith P, Cerda C. Effect of retention in elementary grades on dropping out of school early. Journal of School Psychology. 2017;65:11-27.
12 McWhirter 2018 - McWhirter EH, Garcia EA, Bines D. Discrimination and other education barriers, school connectedness, and thoughts of dropping out among Latina/o students. Journal of Career Development. 2018;45(4):330-344.
13 Ianchini 2016 - Iachini AL, Petiwala AF, Dehart DD. Examining adverse childhood experiences among students repeating the Ninth Grade: Implications for school dropout prevention. Children & Schools. 2016;38(4):218-226.
14 IES WWC-Rumberger 2017 - Rumberger R, Addis H, Allensworth E, et al. Preventing dropout in secondary schools. Washington, D.C.: National Center for Education Evaluation and Regional Assistance (NCEE), U.S. Department of Education (U.S. ED), Institute of Education Sciences (IES), What Works Clearinghouse (WWC); 2017.
15 Braveman 2022 - Braveman PA, Arkin E, Proctor D, Kauh T, Holm N. Systemic and structural racism: Definitions, examples, health damages, and approaches to dismantling. Health Affairs. 2022;41(2):171-178.
16 EPI-Rothstein 2014 - Rothstein R. Brown v. Board at 60: Why have we been so disappointed? What have we learned? Washington, D.C.: Economic Policy Institute (EPI); 2014.
17 Knight 2022 - Knight DS, Hassairi N, Candelaria CA, Sun M, Plecki ML. Prioritizing school finance equity during an economic downturn: Recommendations for state policy makers. Education Finance and Policy. 2022;17(1):188-199.
18 NBER-Guryan 2020 - Guryan J, Christenson S, Cureton A, et al. The effect of mentoring on school attendance and academic outcomes: A randomized evaluation of the Check & Connect program. National Bureau of Economic Research (NBER). 2020: Working Paper 27661.
19 Lehr 2003 - Lehr, C.A., Lanners, E.J., & Lange, E.M. (2003). Alternative schools: Policy and legislation across the United States research report 1. Institute on Community Integration, The College of Education & Human Development, University of Minnesota.
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