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

Disability Care for Adults in Hillsboro, OH: the local picture
About 584 Hillsboro residents aged 18 to 64 report a disability (17%; 16% in Highland County).
230 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
12% of Hillsboro households have no vehicle (6.8% in Highland County); say in your posting if you need a caregiver who drives.
Hillsboro compared with Highland County and Ohio
| Census figure | Hillsboro | Highland County | Ohio |
|---|---|---|---|
| Residents 18 to 64 with a disability | 17% | 16% | 12% |
| Residents 18 to 64 with difficulty doing errands alone | 6.7% | 5.7% | 4.3% |
| Households with no vehicle | 12% | 6.8% | 7.5% |
| Residents 5+ who speak a language other than English at home | 1.1% | 2.5% | 8.0% |
| Residents 65+ with a disability | 43% | 40% | 33% |
| Residents 65+ below the poverty line (approx.) | 22% | 16% | 10% |
| Median income, households headed by someone 65+ | $27,321 | $42,817 | — |
Older residents in towns around Hillsboro
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Greenfield, OH | 15 mi | 810 | 14% |
| Wilmington, OH | 19 mi | 2,610 | 12% |
| Sabina, OH | 19 mi | 620 | 32% |
| Blanchester, OH | 20 mi | 755 | 17% |
| Mount Orab, OH | 21 mi | 611 | 13% |
| Washington Court House, OH | 25 mi | 2,490 | 14% |
Home health agencies serving Hillsboro
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| National Church Residences Home And Community Serv | Chillicothe, OH | 34 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (740) 947-3010 |
| Adena Home Health | Chillicothe, OH | 34 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (740) 779-4660 |
| Small Town Home Health Solutions, Inc | New Richmond, OH | 38 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (513) 214-3301 |
| Alternate Solutions Home Care Of Cincinnati, LLC | Mason, OH | 39 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (513) 563-4663 |
| The Christ Hospital Home Health Care | Mason, OH | 39 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (513) 332-0090 |
Straight-line miles from the center of Hillsboro. 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 Hillsboro
At the Ohio median aide wage of $16.57 an hour, 20 hours of help a week comes to about $1,436 a month in wages, which is 63% of the $2,277 monthly median income of Hillsboro households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Ohio's minimum wage is $11.00 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 Hillsboro: common questions
How much does disability care for adults cost in Hillsboro?
At the Ohio median aide wage of $16.57 an hour, 20 hours of help a week comes to about $1,436 a month in wages, which is 63% of the $2,277 monthly median income of Hillsboro households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Ohio's minimum wage is $11.00 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 Ohio.
More senior care near Hillsboro
Disability Care for Adults in nearby cities
- Disability Care for Adults in Greenfield, OH
- Disability Care for Adults in Wilmington, OH
- Disability Care for Adults in Sabina, OH
- Disability Care for Adults in Blanchester, OH
- Disability Care for Adults in Mount Orab, OH
- Disability Care for Adults in Washington Court House, OH
- Disability Care for Adults in Williamsburg, OH
- Disability Care for Adults in Georgetown, OH
- Disability Care for Adults in Morrow, OH
- Disability Care for Adults in West Union, OH
- Disability Care for Adults in Bethel, OH
- Disability Care for Adults in Shawnee Hills, OH
- Disability Care for Adults in Batavia, OH
- Disability Care for Adults in Mount Repose, OH
- Disability Care for Adults in Waynesville, OH
- Disability Care for Adults in Chillicothe, OH
Other care in Hillsboro
- Companion Care in Hillsboro
- Dementia Care in Hillsboro
- Respite Care in Hillsboro
- Live-In Caregivers in Hillsboro
- Post-Surgery Care in Hillsboro
- Senior Transportation in Hillsboro
- Home Health Aides in Hillsboro
- Nursing Assistants in Hillsboro
- Personal Care in Hillsboro
- Overnight Caregivers in Hillsboro
- 24-Hour Home Care in Hillsboro
- Mobility Assistance in Hillsboro
- Parkinson’s Care in Hillsboro
- Stroke Recovery Support in Hillsboro
- Hospice Support in Hillsboro
- Senior Meal Preparation in Hillsboro
- Senior Housekeeping in Hillsboro
- Medication Reminders in Hillsboro
- Veterans’ Home Care in Hillsboro
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 Hillsboro
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