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Using a longitudinal data from one urban school district and propensity score matching, we investigated if students attending behavior-focused alternative middle schools experienced different 8th grade reading and suspension outcomes compared to a matched sample of students attending traditional middle schools. Results showed that male, African American, and students with disabilities were significantly overrepresented in behavior-focused alternative middle schools. Moreover, students attending behavior-focused alternative middle schools performed significantly lower in 8th grade reading test. No significant difference was found on the number of 8th grade suspensions for students attending behavior-focused alternative and traditional middle schools. We discuss the implications of these findings for further research.