Grandfamilies or kinship families are families in which children reside with and are being raised by grandparents, extended family members, and adults with whom they have a close family relationship, such as godparents or close family friends. About 7.8 million children live in grandfamilies in the United States and about 2.4 million children are being raised by grandparents, other family members, or close family friends without the children’s families in the home. This report describes who the caregivers are in grandfamily settings, the challenges they face, the community supports that are available to them and the status of the children in these settings. Policy recommendations as well as strategies for lay persons to support the success of grandfamilies are also offered.