Adult Disability Care in Helena, AL: In-Home Support

Local figures

Disability Care for Adults in Helena, AL: the local picture

8.0%

of residents aged 18 to 64 have a disability (9.6% in Shelby County)

339

residents aged 18 to 64 have difficulty doing errands alone

0.4%

of households have no vehicle (2.5% in Shelby County)

9

Medicare-certified home health agencies list Helena ZIP codes in their service area

About 1,036 Helena residents aged 18 to 64 report a disability (8.0%; 9.6% in Shelby County).

339 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

0.4% of Helena households have no vehicle (2.5% in Shelby County); say in your posting if you need a caregiver who drives.

Helena compared with Shelby County and Alabama

Census figure	Helena	Shelby County	Alabama
Residents 18 to 64 with a disability	8.0%	9.6%	14%
Residents 18 to 64 with difficulty doing errands alone	2.6%	3.4%	5.0%
Households with no vehicle	0.4%	2.5%	5.4%
Residents 5+ who speak a language other than English at home	7.2%	8.4%	6.0%
Residents 65+ with a disability	24%	30%	38%
Residents 65+ below the poverty line (approx.)	4.0%	8.2%	12%
Median income, households headed by someone 65+	$66,285	$69,559	—

Older residents in towns around Helena

Town	Distance	Residents 65+	Disability (18 to 64)
Alabaster, AL	5.8 mi	4,876	11%
Hoover, AL	7.5 mi	15,408	6.1%
Bessemer, AL	8.1 mi	5,601	22%
Pelham, AL	8.3 mi	4,533	8.7%
McCalla, AL	8.6 mi	2,688	5.7%
Indian Springs Village, AL	9.3 mi	723	5.4%

Home health agencies serving Helena

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Clanton, AL	34 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 755-9926
Amedisys Home Health Lakeshore Of Birmingham	Homewood, AL	13 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 868-0147
Compassus Home Health	Birmingham, AL	14 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 313-2800
Aveanna Home Health	Hoover, AL	5.8 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 685-0421
Enhabit Home Health	Hoover, AL	5.8 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 824-2680

Straight-line miles from the center of Helena. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

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

Cost

What disability care for adults costs in Helena

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 21% of the $5,524 monthly median income of Helena households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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.

Before you hire

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.

Questions

Disability Care for Adults in Helena: common questions

How much does disability care for adults cost in Helena?

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 21% of the $5,524 monthly median income of Helena households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 Alabama.

More near Helena

More senior care near Helena

Disability Care for Adults in nearby cities

Other care in Helena

More for Helena families

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.

In-Home Support for Adults With Disabilities in Helena, AL