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Abstract
Estimates suggest that there may be over one million children in the United States who are being raised solely by their grandparents. Research in the area of grandparents raising grandchildren in homes where the parents are absent is still sparse, but researchers are beginning to see the importance of understanding these family forms, reasons for increasing numbers, and problems that are experienced by both the grandparents and grandchildren. In this article, the current literature on the issues surrounding this population is presented and the gaps in the literature are discussed. An outline for a case management model for grandparents raising grandchildren in a rural setting is then presented. These guidelines are organized into 10 areas of need that emerged during the intervention period, and include questions to cover during the assessment process, example interventions, and case vignettes.