In-Home Support for Adults With Disabilities in Middletown, 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 Middletown for free and hire a caregiver directly, with no agency mark-up.
Disability Care for Adults in Middletown, DE: the local picture
About 1,523 Middletown residents aged 18 to 64 report a disability (11%; 11% in New Castle County).
484 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
2.5% of Middletown households have no vehicle (7.5% in New Castle County); say in your posting if you need a caregiver who drives.
Middletown compared with New Castle County and Delaware
| Census figure | Middletown | New Castle County | Delaware |
|---|---|---|---|
| Residents 18 to 64 with a disability | 11% | 11% | 12% |
| Residents 18 to 64 with difficulty doing errands alone | 3.5% | 4.0% | 4.3% |
| Households with no vehicle | 2.5% | 7.5% | 6.2% |
| Residents 5+ who speak a language other than English at home | 14% | 17% | 15% |
| Residents 65+ with a disability | 26% | 31% | 30% |
| Residents 65+ below the poverty line (approx.) | 3.3% | 7.8% | 7.6% |
| Median income, households headed by someone 65+ | $71,064 | $68,907 | — |
Older residents in towns around Middletown
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Townsend, DE | 2.8 mi | 173 | 5.8% |
| Glasgow, DE | 11 mi | 2,065 | 8.6% |
| Smyrna, DE | 12 mi | 2,305 | 9.2% |
| Bear, DE | 12 mi | 3,339 | 12% |
| Elkton, MD | 13 mi | 2,250 | 15% |
| Clayton, DE | 13 mi | 400 | 9.8% |
Home health agencies serving Middletown
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Amedisys Delaware, LLC | Dover, DE | 21 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, medical social work, home health aides | (302) 678-4764 |
| Aveanna Home Healthcare | Milford, DE | 39 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (302) 514-9597 |
| Homecall | Bear, DE | 12 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (302) 966-9604 |
| Saint Francis Home Care | Newark, DE | 16 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (302) 575-8240 |
| Christianacare Homehealth | Camden, DE | 25 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 Middletown. 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 Middletown
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 24% of the $5,922 monthly median income of Middletown 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 Middletown: common questions
How much does disability care for adults cost in Middletown?
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 24% of the $5,922 monthly median income of Middletown 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 Middletown
Disability Care for Adults in nearby cities
- Disability Care for Adults in Townsend, DE
- Disability Care for Adults in Glasgow, DE
- Disability Care for Adults in Smyrna, DE
- Disability Care for Adults in Bear, DE
- Disability Care for Adults in Elkton, MD
- Disability Care for Adults in Clayton, DE
- Disability Care for Adults in Brookside, DE
- Disability Care for Adults in Salem, NJ
- Disability Care for Adults in Newark, DE
- Disability Care for Adults in North East, MD
- Disability Care for Adults in New Castle, DE
- Disability Care for Adults in Wilmington Manor, DE
- Disability Care for Adults in Pennsville, NJ
- Disability Care for Adults in Pike Creek Valley, DE
- Disability Care for Adults in Perryville, MD
- Disability Care for Adults in Pike Creek, DE
Other care in Middletown
- Companion Care in Middletown
- Dementia Care in Middletown
- Respite Care in Middletown
- Live-In Caregivers in Middletown
- Post-Surgery Care in Middletown
- Senior Transportation in Middletown
- Home Health Aides in Middletown
- Nursing Assistants in Middletown
- Personal Care in Middletown
- Overnight Caregivers in Middletown
- 24-Hour Home Care in Middletown
- Mobility Assistance in Middletown
- Parkinson’s Care in Middletown
- Stroke Recovery Support in Middletown
- Hospice Support in Middletown
- Senior Meal Preparation in Middletown
- Senior Housekeeping in Middletown
- Medication Reminders in Middletown
- Veterans’ Home Care in Middletown
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 Middletown
Posting is free and takes about ten minutes. Caregivers near Middletown can see it as soon as it is live.
Create your free family accountLooking for caregiving work instead? Create a free caregiver profile.
