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

Disability Care for Adults in Holt, AL: the local picture
About 329 Holt residents aged 18 to 64 report a disability (15%; 11% in Tuscaloosa County).
42 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
6.2% of Holt households have no vehicle (5.8% in Tuscaloosa County); say in your posting if you need a caregiver who drives.
Holt compared with Tuscaloosa County and Alabama
| Census figure | Holt | Tuscaloosa County | Alabama |
|---|---|---|---|
| Residents 18 to 64 with a disability | 15% | 11% | 14% |
| Residents 18 to 64 with difficulty doing errands alone | 1.9% | 3.6% | 5.0% |
| Households with no vehicle | 6.2% | 5.8% | 5.4% |
| Residents 5+ who speak a language other than English at home | 20% | 6.6% | 6.0% |
| Residents 65+ with a disability | 40% | 36% | 38% |
| Residents 65+ below the poverty line (approx.) | 6.7% | 12% | 12% |
| Median income, households headed by someone 65+ | $46,984 | $49,718 | — |
Older residents in towns around Holt
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Tuscaloosa, AL | 2.6 mi | 14,431 | 9.6% |
| Cottondale, AL | 3.0 mi | 424 | 15% |
| Northport, AL | 6.8 mi | 4,739 | 14% |
| Coaling, AL | 8.7 mi | 198 | 15% |
| Brookwood, AL | 8.8 mi | 233 | 20% |
| Moundville, AL | 18 mi | 262 | 15% |
Home health agencies serving Holt
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Hoover, AL | 39 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (205) 739-7800 |
| Amedisys Home Health Of Tuscaloosa | Northport, AL | 6.5 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (205) 752-0606 |
| Compassus Home Health | Birmingham, AL | 45 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 | 39 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 | 39 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 Holt. 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 Holt
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 30% of the $3,915 monthly median income of Holt 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 Holt: common questions
How much does disability care for adults cost in Holt?
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 30% of the $3,915 monthly median income of Holt 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 Holt
Disability Care for Adults in nearby cities
- Disability Care for Adults in Tuscaloosa, AL
- Disability Care for Adults in Cottondale, AL
- Disability Care for Adults in Northport, AL
- Disability Care for Adults in Coaling, AL
- Disability Care for Adults in Brookwood, AL
- Disability Care for Adults in Moundville, AL
- Disability Care for Adults in Lake View, AL
- Disability Care for Adults in Brent, AL
- Disability Care for Adults in McCalla, AL
- Disability Care for Adults in Centreville, AL
- Disability Care for Adults in Hueytown, AL
- Disability Care for Adults in Bessemer, AL
- Disability Care for Adults in Brighton, AL
- Disability Care for Adults in Pleasant Grove, AL
- Disability Care for Adults in Helena, AL
- Disability Care for Adults in Eutaw, AL
Other care in Holt
- Companion Care in Holt
- Dementia Care in Holt
- Respite Care in Holt
- Live-In Caregivers in Holt
- Post-Surgery Care in Holt
- Senior Transportation in Holt
- Home Health Aides in Holt
- Nursing Assistants in Holt
- Personal Care in Holt
- Overnight Caregivers in Holt
- 24-Hour Home Care in Holt
- Mobility Assistance in Holt
- Parkinson’s Care in Holt
- Stroke Recovery Support in Holt
- Hospice Support in Holt
- Senior Meal Preparation in Holt
- Senior Housekeeping in Holt
- Medication Reminders in Holt
- Veterans’ Home Care in Holt
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 Holt
Posting is free and takes about ten minutes. Caregivers near Holt can see it as soon as it is live.
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