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Nursing Research and Practice
Volume 2012, Article ID 124230, 6 pages
Research Article

Examining the Effectiveness of a Case Management Program for Custodial Grandparent Families

1Division of Nursing, Winston-Salem State University, Winston-Salem, NC 27402-6172, USA
2School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA

Received 13 January 2012; Accepted 11 April 2012

Academic Editor: Patricia M. Davidson

Copyright © 2012 Lenora Campbell et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Researchers have identified complex needs of custodial grandparent families and lack of access to needed resources such as housing, financial and legal assistance, and health care. Case management links these families with needed services while helping them develop skills to promote their health and well-being. This paper describes a case management program for custodial grandparent families using a nurse-social worker case management team. data were collected from 50 grandparents and 33 children using surveys and semi-structured instruments. Physical and mental health outcomes were measured using Short Form-12 Health Survey (SF 12) to measure the perceived quality of health for grandparents and the Child Behavior Checklist to measure the emotional and behavioral functioning of grandchildren. Grandparents more positively perceived their mental health after participating in the program. Perceptions about physical health were generally the same before and after the program. Grandparents' reported that many grandchildren had emotional and behavioral problems in the clinical range. These findings highlight the need for further research on the mental health needs of children being parented by grandparents as well as determining effective models and interventions to minimize adverse effects of parenting on grandparents.