My family is still that way for the most part. Physical illness they understand and are very supportive but mental issues not so much. Two of my four step kids (they are adults now) have severe mental illness and my family never wants to hear about them. They ask about their other nephews and nieces but not our children. My parents did their best and consider them their grandchildren but there really is no contact anymore. This hurts because I always thought that we were a close family and just assumed that my step children would be accepted. My husband's family is the same way they never ask about the kids. Now that they are adults I know that there will never be a relationship formed between them and either set of grandparents but it would be nice if they asked us how they are doing from time to time. Just sayin'.