Caregivers
of a relative's child with problem behaviors and mental health issues impacting family functioning and caregiver loyalty confusion; unique family
dynamics as a result
of relative caregiving;
strained relationships with birth parents
of the child; poverty and needed resources; abrupt change in life style with the addition
of children, and the stress involved, especially for grandparents; housing and other needs such as furniture, clothing, food; isolation and loss
of normal same age companionship
of friends