“…Grandparents who are raising grandchildren with SUD struggle with the stressful demands created by their grandchildren's misconduct and its impact on their own emotional and physical wellbeing (Lee & Blitz, 2016;Harnett, Dawe, & Russel, 2014;Marken & Howard, 2014;Strom & Strom, 2011;Barnard, 2005). Other scholars report that the circumstances created by the SUD generate interpersonal complications such as relationship dissatisfaction, negative interactions and relational violence (Cox, Ketner & Blow, 2013;Benishek, Kirby & Dugosh, 2011).…”