Multigenerational families face obstacles like the inability to place the children and the elderly on health insurance policies, to obtain affordable housing, as well as? to enroll the children in school. Policies and practices nationally and in states and local communities should recognize several areas of concern for multigenerational families that need to be addressed, including legal relationship, health, education, housing and stress on caregivers. For instance, many multigenerational families are raising children on a permanent or temporary basis. To establish a legal relationship between family caregivers other than the biological parents and the children they raise, legal proceedings must be brought. These proceedings are usually lengthy ad emotionally difficult for everyone involved. The court must reach conclusions about the fitness of the parents and the best interests of the child. These conclusions can strain family relationships, rather than keep the family together.

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