Key Takeaways
- Over 2.7 million grandparents in the United States are responsible for raising their grandchildren, with parental substance abuse being the leading cause.
- Grandparents raising grandchildren face unique challenges including financial strain, legal complexity, emotional grief, physical demands, and social isolation.
- Kinship care arrangements, whether formal or informal, carry important legal implications that grandparents need to understand and address.
- Support groups, legal aid organizations, and community resources specifically for grandfamilies are available in Orange County and throughout Southern California.
- Taking care of their own health and well-being is essential for grandparents to sustain the energy and emotional resources needed for this demanding role.
The Growing Phenomenon of Grandfamilies
The opioid epidemic and the broader crisis of substance abuse in America have created an unprecedented situation: millions of grandparents who expected to enjoy retirement are instead raising a second generation of children. According to the U.S. Census Bureau, over 2.7 million grandparents are responsible for the basic needs of their grandchildren, and parental substance abuse is the single most common reason for this arrangement.
These "grandfamilies" exist across every demographic, socioeconomic level, and geographic region, but the phenomenon is particularly pronounced in communities hard hit by the opioid crisis. In Orange County and throughout Southern California, grandparents are stepping in when their adult children's addiction makes safe parenting impossible.
The decision to take on this responsibility is rarely straightforward. Grandparents often face an agonizing choice between watching their grandchildren enter the foster care system or upending their own lives to provide care. Most choose the latter out of love and a sense of family obligation, often without understanding the full scope of what lies ahead.
The Grandfamilies & Kinship Support Network reports that the number of children being raised by grandparents has increased by over 30 percent since 2009, driven primarily by the opioid epidemic and parental substance abuse.
Financial Challenges and Resources
The financial burden on grandparents raising grandchildren can be overwhelming. Many grandparents are on fixed incomes — Social Security, pensions, or retirement savings — that were never designed to support growing children. The costs of food, clothing, school supplies, medical care, childcare, and extracurricular activities can quickly exceed what grandparents can afford.
Compounding the problem, grandparents in informal kinship care arrangements often lack access to the financial supports available to licensed foster parents. Grandparents who have not established legal guardianship or custody may also face obstacles enrolling grandchildren in school, obtaining medical care, or accessing social services.
Fortunately, resources exist. Temporary Assistance for Needy Families (TANF), Supplemental Nutrition Assistance Program (SNAP), Medicaid for children, and Social Security benefits for eligible children can help offset costs. Some states, including California, offer kinship guardian assistance payments for grandparents who have obtained legal guardianship. An attorney or social worker can help you navigate these options.
- TANF (Temporary Assistance for Needy Families) — cash assistance for eligible families
- SNAP (Supplemental Nutrition Assistance Program) — food assistance
- Medicaid and CHIP — healthcare coverage for eligible children
- Kinship Guardian Assistance Program (Kin-GAP) in California
- Social Security benefits if the parent is deceased, disabled, or incarcerated
- School free and reduced lunch programs
- Community organizations that provide clothing, school supplies, and holiday gifts
Legal Considerations for Grandparent Caregivers
The legal framework surrounding grandparent caregiving is complex and varies by state. In California, grandparents have several options for formalizing their caregiving arrangement, each with different implications for authority, permanency, and access to services.
Informal arrangements, while common, leave grandparents without legal authority to make medical decisions, enroll children in school, or access many support services. Obtaining legal guardianship through the court provides broader authority and is often necessary for practical reasons. In cases where reunification with the parent is unlikely, adoption may be appropriate.
Consulting with a family law attorney is strongly recommended, even if the arrangement seems stable. Many legal aid organizations in Orange County offer free or low-cost services for grandparent caregivers. The Legal Aid Society of Orange County and similar organizations can help you understand your options and protect both your rights and your grandchildren's interests.
Common Legal Arrangements
Understanding the differences between legal arrangements helps grandparents make informed decisions about the best path forward.
- Informal caregiving: no legal standing, limited authority for medical and educational decisions
- Caregiver Authorization Affidavit: allows enrollment in school and consent to medical care without court involvement
- Temporary guardianship: court-ordered, provides legal authority for a specified period
- Permanent guardianship: more durable legal arrangement with broader authority
- Adoption: terminates parental rights and establishes the grandparent as the legal parent
The Emotional Toll on Grandparents
The emotional challenges of raising grandchildren due to addiction are immense and often underrecognized. Grandparents grieve the loss of their expected retirement, the deterioration of their adult child, and the innocence their grandchildren have lost. This grief is compounded by anger at their adult child, fear for the future, and guilt about whether they could have prevented the addiction.
Many grandparents also experience a deep sense of failure, wondering what they did wrong as parents that led their child to addiction. This self-blame is misplaced — addiction is a complex disease influenced by genetics, environment, peer relationships, trauma, and many other factors beyond any single parent's control — but it is a powerful and persistent feeling.
Social isolation is another significant concern. Grandparents raising grandchildren often find that their peer group does not understand their situation. Friends may be traveling, pursuing hobbies, or enjoying the freedom of retirement, while the grandparent is attending parent-teacher conferences and managing homework. This disconnect can lead to profound loneliness.
Health and Self-Care for Grandparent Caregivers
The physical demands of raising children increase with age, and many grandparent caregivers struggle with health issues that make caregiving challenging. Chronic conditions, decreased energy, and the stress of caregiving can create a dangerous cycle in which the grandparent's health declines, making caregiving harder, which increases stress, which further damages health.
Prioritizing your own health is not optional — it is essential for your grandchildren's well-being. You cannot care for them if you are not caring for yourself. Schedule and keep medical appointments, maintain a reasonable sleep schedule, eat well, and find ways to incorporate physical activity into your routine.
Respite care — temporary care that gives the primary caregiver a break — is a critical resource. Orange County's Area Agency on Aging and local community organizations offer respite programs for kinship caregivers. Even a few hours of weekly respite can make a significant difference in your energy and outlook.
The Orange County Area Agency on Aging offers programs specifically for grandparent caregivers, including support groups, respite care referrals, and assistance navigating social services. Call 211 for local resource information.
Supporting Your Grandchildren's Emotional Needs
Children being raised by grandparents due to parental addiction carry their own emotional burdens. They may feel abandoned by their parents, confused about their family structure, angry about their situation, or worried about their parent's safety. These emotions need acknowledgment and, often, professional support.
Age-appropriate honesty about why they are living with you helps children make sense of their experience. Avoid speaking negatively about their parent, but do not create elaborate cover stories either. Children benefit from understanding, in terms they can grasp, that their parent is struggling with a sickness and that you are providing a safe, loving home while their parent gets help.
Therapy for children in kinship care can address attachment issues, grief, anxiety, and behavioral challenges. Trust SoCal in Fountain Valley offers family therapy that can include grandparent caregivers and their grandchildren, helping the entire family unit navigate the complex emotions and dynamics of this situation. Reach out at (949) 280-8360 for support.

Courtney Rolle, CMHC
Clinical Mental Health Counselor




