The phenomenon of grandparents raising grandchildren has increased sig
nificantly over the past two decades. The literature documents that he
alth, financial, and legal worries top the list of concerns for grandp
arents who raise grandchildren. The authors describe the results of a
multi-disciplinary study that provides home visitation with social, nu
rsing, legal, and educational support to grandparents raising grandchi
ldren in parent absent households. This article examines the custodial
relationships of one hundred and sixty-three children being raised in
sixty-eight families headed by grandparents in an urban population in
the South. The data showed that of the 163 children, 70 were in the g
uardianship of their grandparents, 40 of the children had no legal rel
ationship with their grandparents, 28 were in the custody of the State
Department of Family and Children's Services, 21 were in the temporar
y custody of their grandparents, and four were adopted by their grandp
arents. Recommendations from this study include educating service prov
iders and grandparents raising grandchildren regarding the potential f
inancial benefits under Title IVE adoption assistance and supporting l
egislative reform to increase the stability of intergenerational kinsh
ip care. This project demonstrates an innovative approach of combining
university-based research with multidisciplinary education while prov
iding cost-effective support services through a partnership with the c
ommunity.