For people with substance use disorders, the current global health crisis can make conditions worse. Substance use might be heavier, and seeking help can seem even more difficult. If adults with children are struggling, grandparents may be called upon to care for their grandchildren. It might be for a little while, the duration of the pandemic, or longer. The Grandfamily Guidebook: Wisdom and Support for Grandparents Raising Grandchildren, by Andrew Adesman and Christine Ademec, can help.