Grandparent Caregiver Wellbeing: A Strengths-Based Approach Utilizing the Positive Emotions, Engagement, Relationships, Meaning, and Accomplishment (PERMA) Framework

Grandparent caregivers experience a complex web of rewards and challenges as the primary source of support for their grandchildren. Consistent with the trend towards a more positive framing of grandparent caregiving, this paper explores the grandparent caregiver experience through a strengths-based approach and makes the case for Seligman's Wellbeing Theory, or PERMA model, being used to support research, programming, and policy. A scoping review of 16 current empirical articles relevant to grandparent caregiver wellbeing revealed the experience of grandparent caregivers aligns well with the five components of Seligman’s PERMA model: positive emotions, engagement, relationships, meaning, and accomplishment. Using this framework with grandparent caregivers, both in theory and in practice, can provide relevant stakeholders with a more comprehensive picture of the needs of this population, enabling them to more effectively support wellbeing for grandparent caregivers and positive developmental outcomes for the growing number of children in their care.

Interventions to Improve Grandparent Caregivers’ Mental and Physical Health: An Integrative Review

The aim of this integrative review is to appraise grandparent caregiver interventions that are designed to improve their physical and mental health. A database search was performed to identify relevant studies published between January 1, 1980, and December 31, 2014. Thirteen publications, including 11 studies, met all inclusion and exclusion criteria. All studies included grandparent mental health outcomes with fewer focusing on physical health and social relations. Improvements were found in all three areas with fewer improvements seen in physical health. However, small effect sizes were seen with most measures of these outcomes. Although the interventions led to positive grandparent caregiver outcomes, the studies were limited by their design, only one of which was a randomized controlled trial. Also, interventions did not consider variations in the grandchild’s or parent’s ages or if the grandparent provided primary or shared care. These gaps should be addressed in future research.

Intergenerational and Interconnected: Mental Health and Weil-Being in Grandparent Caregiver Families

Research shows that a substantial number of grandparent caregivers are caring for children with developmental delays or emotional or behavioral problems, and that many caregivers have clinical levels of depression. This study explores grandparent-caregiver families’ mental health needs as well as use of and barriers to accessing mental health services. Interviews with families revealed unmet mental health needs and an interconnectedness between grandchildren's and their grandparent caregivers’ well-being. In the survey component, service providers described problems highly consistent with those reported by grandmothers, including school-related or attention-related concerns among children and depression, stress, and frustration among grandparents. Findings suggest implications for practitioners and policymakers regarding service access, expectations about services, and the fit between clients’ needs and the services available.