“…Based on prior research and our experience with grandfamilies in our communities, we wanted to discover the nature of any unmet needs or concerns, despite formal affiliation. Issues of interest for this study included reasons that grandparents take over care (Backhouse & Graham, 2012;Sands & Goldberg-Glen, 2000;Templeton, 2012), psychosocial difficulties for grandparents (Bundy-Fazioli, Fruhauf, & Miller, 2013;Sands, Goldberg-Glen, & Thornton, 2005) and the grandchildren (Edwards, 2006;Hayslip & Kaminski, 2005a;Keller & Stricker, 2003), family dynamics involving the child's parent or parents (Gladstone, Brown, & Fitzgerald, 2009;Strong, Bean, & Feinauer, 2010), service use and unmet needs of grandparents (Yancura, 2013), outcomes based on whether the grandparent has formal custody or informal charge of grandchildren (Kolomer, 2008), and the challenges often associated with parenting and working with school systems (Edwards & Sweeney, 2007), including pediatric health care, and other day-to-day needs in the lives of minor children (Baird, 2003). Despite the recent body of literature, grandparents' responsibility for grandchildren is not entirely new, especially among populations that include grandparents as part of an extended family in which day-today contact and child care among all adult members is normative (Chen, Liu, & Mair, 2011;Mollborn, Formby, & Dennis, 2011;Settles, Zhao, et al, 2009).…”