In-Home Support for Adults With Disabilities in Elsmere, DE
Support at home for adults under 65 with a physical, intellectual or developmental disability, so they can live as independently as they choose. Post what you need in Elsmere for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Elsmere, DE: the local picture
About 339 Elsmere residents aged 18 to 64 report a disability (9.1%; 11% in New Castle County).
116 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
4.6% of Elsmere households have no vehicle (7.5% in New Castle County); say in your posting if you need a caregiver who drives.
Elsmere compared with New Castle County and Delaware
| Census figure | Elsmere | New Castle County | Delaware |
|---|---|---|---|
| Residents 18 to 64 with a disability | 9.1% | 11% | 12% |
| Residents 18 to 64 with difficulty doing errands alone | 3.1% | 4.0% | 4.3% |
| Households with no vehicle | 4.6% | 7.5% | 6.2% |
| Residents 5+ who speak a language other than English at home | 23% | 17% | 15% |
| Residents 65+ with a disability | 37% | 31% | 30% |
| Residents 65+ below the poverty line (approx.) | 15% | 7.8% | 7.6% |
| Median income, households headed by someone 65+ | $43,672 | $68,907 | — |
Older residents in towns around Elsmere
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Greenville, DE | 2.6 mi | 988 | 5.6% |
| Wilmington, DE | 3.3 mi | 11,083 | 14% |
| Wilmington Manor, DE | 3.7 mi | 1,602 | 14% |
| Edgemoor, DE | 4.8 mi | 983 | 18% |
| New Castle, DE | 5.0 mi | 1,279 | 15% |
| Pike Creek, DE | 5.4 mi | 1,419 | 8.3% |
Home health agencies serving Elsmere
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Amedisys Delaware, LLC | Dover, DE | 40 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, medical social work, home health aides | (302) 678-4764 |
| Aveanna Home Healthcare | Milford, DE | 57 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (302) 514-9597 |
| Saint Francis Home Care | Newark, DE | 8.0 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (302) 575-8240 |
| Christianacare Homehealth | Wilmington, DE | 5.4 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (302) 327-5200 |
| Christianacare Homehealth | Camden, DE | 44 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (302) 698-4300 |
Straight-line miles from the center of Elsmere. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a disability support caregiver can help with
- Personal care, on the person’s terms
- Cooking, shopping and housekeeping
- Getting to work, school, appointments and activities
- Keeping routines the person sets
What disability care for adults costs in Elsmere
At the Delaware median aide wage of $16.50 an hour, 20 hours of help a week comes to about $1,430 a month in wages, which is 39% of the $3,639 monthly median income of Elsmere households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Delaware's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).
Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.
What to know before hiring a disability support caregiver
Many state Medicaid programs let adults with disabilities direct their own care: they, or a representative, hire and supervise the caregiver.
Questions worth asking: Have you supported adults with a disability like mine (or my family member’s)? How do you support someone to do things themselves? Can you drive to work, school or day programs? More in our disability care for adults guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Disability Care for Adults in Elsmere: common questions
How much does disability care for adults cost in Elsmere?
At the Delaware median aide wage of $16.50 an hour, 20 hours of help a week comes to about $1,430 a month in wages, which is 39% of the $3,639 monthly median income of Elsmere households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Delaware's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).
Can an adult with a disability hire their own caregiver?
Yes. Many state Medicaid programs offer self-direction, where the person or a representative hires and supervises the caregiver. Our guide Medicaid programs for family caregivers: who can be paid, and the rules in 12 states covers Delaware.
More senior care near Elsmere
Disability Care for Adults in nearby cities
- Disability Care for Adults in Greenville, DE
- Disability Care for Adults in Wilmington, DE
- Disability Care for Adults in Wilmington Manor, DE
- Disability Care for Adults in Edgemoor, DE
- Disability Care for Adults in New Castle, DE
- Disability Care for Adults in Pike Creek, DE
- Disability Care for Adults in Pike Creek Valley, DE
- Disability Care for Adults in Hockessin, DE
- Disability Care for Adults in Penns Grove, NJ
- Disability Care for Adults in Carneys Point, NJ
- Disability Care for Adults in North Star, DE
- Disability Care for Adults in Brookside, DE
- Disability Care for Adults in Pennsville, NJ
- Disability Care for Adults in Claymont, DE
- Disability Care for Adults in Bear, DE
- Disability Care for Adults in Kennett Square, PA
Other care in Elsmere
- Companion Care in Elsmere
- Dementia Care in Elsmere
- Respite Care in Elsmere
- Live-In Caregivers in Elsmere
- Post-Surgery Care in Elsmere
- Senior Transportation in Elsmere
- Home Health Aides in Elsmere
- Nursing Assistants in Elsmere
- Personal Care in Elsmere
- Overnight Caregivers in Elsmere
- 24-Hour Home Care in Elsmere
- Mobility Assistance in Elsmere
- Parkinson’s Care in Elsmere
- Stroke Recovery Support in Elsmere
- Hospice Support in Elsmere
- Senior Meal Preparation in Elsmere
- Senior Housekeeping in Elsmere
- Medication Reminders in Elsmere
- Veterans’ Home Care in Elsmere
Sources
Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.
Find disability care for adults in Elsmere
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