The plight of African American custodial grandparents should be centered as a social...
and public health issue. Grandparents are sought out by social services to provide immediate care for one or more young grandchildren, yet, grandparent caregivers receive significantly fewer services and support than non-caregivers. This is further complicated because placement with African American grandparents are often permanent. Further, African American grandparents are more likely to be plagued with issues related to poverty, chronic illnesses, as well as a lack of knowledge and trust when it comes to navigating social and medical institutions. Drawing on data derived from 22 custodial grandparents in the Piedmont area of North Carolina, our aims are to (1) understand the physical and mental health needs of African American custodial grandparents and; (2) identify what supports are needed for these grandparents to provide the best care for themselves and their grandchildren. Findings suggest that (1) there are significant knowledge gaps in care needs in African American families in comparison to their white counterparts; (2) grandparents' health is more likely to remain the same or worsen as a custodial parent and; (3) African American grandparents experience stress due to time demands, a lack of social support, and a lack of adequate resources which complicates caregiving responsibilities. Research, policy and practice implications of this research include identifying social supports unique to African Americans (e.g., family, friends, distant kin, church) and determining strategies to strengthen them, which is paramount to addressing disparities in care and health for custodial grandparents.