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

Disability Care for Adults in Portsmouth, NH: the local picture
About 1,364 Portsmouth residents aged 18 to 64 report a disability (9.5%; 8.7% in Rockingham County).
301 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
4.9% of Portsmouth households have no vehicle (3.1% in Rockingham County); say in your posting if you need a caregiver who drives.
Portsmouth compared with Rockingham County and New Hampshire
| Census figure | Portsmouth | Rockingham County | New Hampshire |
|---|---|---|---|
| Residents 18 to 64 with a disability | 9.5% | 8.7% | 11% |
| Residents 18 to 64 with difficulty doing errands alone | 2.1% | 2.9% | 3.9% |
| Households with no vehicle | 4.9% | 3.1% | 4.6% |
| Residents 5+ who speak a language other than English at home | 10% | 6.5% | 7.9% |
| Residents 65+ with a disability | 29% | 26% | 28% |
| Residents 65+ below the poverty line (approx.) | 5.8% | 6.0% | 7.7% |
| Median income, households headed by someone 65+ | $73,426 | $75,258 | — |
Older residents in towns around Portsmouth
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Kittery, ME | 2.9 mi | 1,402 | 12% |
| South Eliot, ME | 5.2 mi | 1,380 | 15% |
| Newmarket, NH | 8.2 mi | 756 | 8.6% |
| Hampton, NH | 8.4 mi | 2,720 | 8.7% |
| York Harbor, ME | 8.8 mi | 981 | 6.0% |
| Durham, NH | 9.2 mi | 802 | 6.6% |
Home health agencies serving Portsmouth
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Amedisys Home Health | Portsmouth, NH | 1.5 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (603) 436-0815 |
| Elara Caring | Newburyport, MA | 18 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (978) 904-1454 |
| Tufts Medicine Care At Home - Home Health NH | North Hampton, NH | 6.2 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (603) 854-5757 |
| Caretenders | Epping, NH | 15 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (603) 952-3500 |
| Cornerstone Vna | Rochester, NH | 20 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (603) 332-1133 |
Straight-line miles from the center of Portsmouth. 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 Portsmouth
At the New Hampshire median aide wage of $18.64 an hour, 20 hours of help a week comes to about $1,615 a month in wages, which is 26% of the $6,119 monthly median income of Portsmouth households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. New Hampshire's minimum wage is $7.25 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 Portsmouth: common questions
How much does disability care for adults cost in Portsmouth?
At the New Hampshire median aide wage of $18.64 an hour, 20 hours of help a week comes to about $1,615 a month in wages, which is 26% of the $6,119 monthly median income of Portsmouth households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. New Hampshire's minimum wage is $7.25 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 New Hampshire.
More senior care near Portsmouth
Disability Care for Adults in nearby cities
- Disability Care for Adults in Kittery, ME
- Disability Care for Adults in South Eliot, ME
- Disability Care for Adults in Newmarket, NH
- Disability Care for Adults in Hampton, NH
- Disability Care for Adults in York Harbor, ME
- Disability Care for Adults in Durham, NH
- Disability Care for Adults in Dover, NH
- Disability Care for Adults in Exeter, NH
- Disability Care for Adults in Hampton Beach, NH
- Disability Care for Adults in South Berwick, ME
- Disability Care for Adults in Somersworth, NH
- Disability Care for Adults in Epping, NH
- Disability Care for Adults in Salisbury, MA
- Disability Care for Adults in Amesbury, MA
- Disability Care for Adults in Newburyport, MA
- Disability Care for Adults in Rochester, NH
Other care in Portsmouth
- Companion Care in Portsmouth
- Dementia Care in Portsmouth
- Respite Care in Portsmouth
- Live-In Caregivers in Portsmouth
- Post-Surgery Care in Portsmouth
- Senior Transportation in Portsmouth
- Home Health Aides in Portsmouth
- Nursing Assistants in Portsmouth
- Personal Care in Portsmouth
- Overnight Caregivers in Portsmouth
- 24-Hour Home Care in Portsmouth
- Mobility Assistance in Portsmouth
- Parkinson’s Care in Portsmouth
- Stroke Recovery Support in Portsmouth
- Hospice Support in Portsmouth
- Senior Meal Preparation in Portsmouth
- Senior Housekeeping in Portsmouth
- Medication Reminders in Portsmouth
- Veterans’ Home Care in Portsmouth
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 Portsmouth
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