In-Home Support for Adults With Disabilities in Highland Lakes, AL
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 Highland Lakes for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Highland Lakes, AL: the local picture
About 408 Highland Lakes residents aged 18 to 64 report a disability (11%; 9.6% in Shelby County).
42 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
2.9% of Highland Lakes households have no vehicle (2.5% in Shelby County); say in your posting if you need a caregiver who drives.
Highland Lakes compared with Shelby County and Alabama
| Census figure | Highland Lakes | Shelby County | Alabama |
|---|---|---|---|
| Residents 18 to 64 with a disability | 11% | 9.6% | 14% |
| Residents 18 to 64 with difficulty doing errands alone | 1.2% | 3.4% | 5.0% |
| Households with no vehicle | 2.9% | 2.5% | 5.4% |
| Residents 5+ who speak a language other than English at home | 3.4% | 8.4% | 6.0% |
| Residents 65+ with a disability | 35% | 30% | 38% |
| Residents 65+ below the poverty line (approx.) | 3.9% | 8.2% | 12% |
| Median income, households headed by someone 65+ | $119,219 | $69,559 | — |
Older residents in towns around Highland Lakes
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Eagle Point, AL | 1.7 mi | 568 | 6.1% |
| Meadowbrook, AL | 3.3 mi | 1,162 | 6.7% |
| Brook Highland, AL | 3.5 mi | 1,161 | 6.7% |
| Chelsea, AL | 6.2 mi | 2,538 | 9.6% |
| Indian Springs Village, AL | 6.2 mi | 723 | 5.4% |
| Vestavia Hills, AL | 6.9 mi | 7,394 | 12% |
Home health agencies serving Highland Lakes
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Birmingham, AL | 10 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (205) 836-0777 |
| Centerwell Home Health | Hoover, AL | 11 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (205) 739-7800 |
| Centerwell Home Health | Sylacauga, AL | 27 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (256) 249-4363 |
| Compassus Home Health | Birmingham, AL | 6.8 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (205) 313-2800 |
| Amedisys Home Health Lakeshore Of Birmingham | Homewood, AL | 10 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (205) 868-0147 |
Straight-line miles from the center of Highland Lakes. 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 Highland Lakes
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 12% of the $9,935 monthly median income of Highland Lakes 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.
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 Highland Lakes: common questions
How much does disability care for adults cost in Highland Lakes?
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 12% of the $9,935 monthly median income of Highland Lakes 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 senior care near Highland Lakes
Disability Care for Adults in nearby cities
- Disability Care for Adults in Eagle Point, AL
- Disability Care for Adults in Meadowbrook, AL
- Disability Care for Adults in Brook Highland, AL
- Disability Care for Adults in Chelsea, AL
- Disability Care for Adults in Indian Springs Village, AL
- Disability Care for Adults in Vestavia Hills, AL
- Disability Care for Adults in Pelham, AL
- Disability Care for Adults in Mountain Brook, AL
- Disability Care for Adults in Hoover, AL
- Disability Care for Adults in Irondale, AL
- Disability Care for Adults in Homewood, AL
- Disability Care for Adults in Leeds, AL
- Disability Care for Adults in Birmingham, AL
- Disability Care for Adults in Columbiana, AL
- Disability Care for Adults in Tarrant, AL
- Disability Care for Adults in Helena, AL
Other care in Highland Lakes
- Companion Care in Highland Lakes
- Dementia Care in Highland Lakes
- Respite Care in Highland Lakes
- Live-In Caregivers in Highland Lakes
- Post-Surgery Care in Highland Lakes
- Senior Transportation in Highland Lakes
- Home Health Aides in Highland Lakes
- Nursing Assistants in Highland Lakes
- Personal Care in Highland Lakes
- Overnight Caregivers in Highland Lakes
- 24-Hour Home Care in Highland Lakes
- Mobility Assistance in Highland Lakes
- Parkinson’s Care in Highland Lakes
- Stroke Recovery Support in Highland Lakes
- Hospice Support in Highland Lakes
- Senior Meal Preparation in Highland Lakes
- Senior Housekeeping in Highland Lakes
- Medication Reminders in Highland Lakes
- Veterans’ Home Care in Highland Lakes
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 Highland Lakes
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