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

Disability Care for Adults in Shiloh, IL: the local picture
About 831 Shiloh residents aged 18 to 64 report a disability (9.9%; 14% in St. Clair County).
346 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
5.7% of Shiloh households have no vehicle (7.5% in St. Clair County); say in your posting if you need a caregiver who drives.
Shiloh compared with St. Clair County and Illinois
| Census figure | Shiloh | St. Clair County | Illinois |
|---|---|---|---|
| Residents 18 to 64 with a disability | 9.9% | 14% | 9.7% |
| Residents 18 to 64 with difficulty doing errands alone | 4.1% | 5.6% | 3.5% |
| Households with no vehicle | 5.7% | 7.5% | 11% |
| Residents 5+ who speak a language other than English at home | 6.6% | 5.0% | 24% |
| Residents 65+ with a disability | 36% | 33% | 32% |
| Residents 65+ below the poverty line (approx.) | 5.7% | 10% | 10% |
| Median income, households headed by someone 65+ | $61,888 | $54,949 | — |
Older residents in towns around Shiloh
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Scott AFB, IL | 3.3 mi | 33 | 12% |
| O'Fallon, IL | 3.5 mi | 5,382 | 9.3% |
| Swansea, IL | 4.0 mi | 2,699 | 7.1% |
| Belleville, IL | 4.7 mi | 6,768 | 13% |
| Fairview Heights, IL | 5.9 mi | 3,239 | 13% |
| Mascoutah, IL | 6.5 mi | 1,223 | 17% |
Home health agencies serving Shiloh
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Adoration Home Health | O Fallon, IL | 1.8 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (618) 622-8854 |
| Aw Health Care | Saint Louis, MO | 24 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 726-5600 |
| Evertrue Home Health | St. Louis, MO | 24 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 352-7889 |
| Elara Caring V | Springfield, IL | 85 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (217) 718-4889 |
| Residential Home Health Of Southern Illinois | Glen Carbon, IL | 15 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 642-6099 |
Straight-line miles from the center of Shiloh. 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 Shiloh
At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 31% of the $5,157 monthly median income of Shiloh households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois'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 Shiloh: common questions
How much does disability care for adults cost in Shiloh?
At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 31% of the $5,157 monthly median income of Shiloh households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois'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 Illinois.
More senior care near Shiloh
Disability Care for Adults in nearby cities
- Disability Care for Adults in Scott AFB, IL
- Disability Care for Adults in O'Fallon, IL
- Disability Care for Adults in Swansea, IL
- Disability Care for Adults in Belleville, IL
- Disability Care for Adults in Fairview Heights, IL
- Disability Care for Adults in Mascoutah, IL
- Disability Care for Adults in Lebanon, IL
- Disability Care for Adults in Freeburg, IL
- Disability Care for Adults in Caseyville, IL
- Disability Care for Adults in Collinsville, IL
- Disability Care for Adults in Smithton, IL
- Disability Care for Adults in New Baden, IL
- Disability Care for Adults in Millstadt, IL
- Disability Care for Adults in Troy, IL
- Disability Care for Adults in East St. Louis, IL
- Disability Care for Adults in Maryville, IL
Other care in Shiloh
- Companion Care in Shiloh
- Dementia Care in Shiloh
- Respite Care in Shiloh
- Live-In Caregivers in Shiloh
- Post-Surgery Care in Shiloh
- Senior Transportation in Shiloh
- Home Health Aides in Shiloh
- Nursing Assistants in Shiloh
- Personal Care in Shiloh
- Overnight Caregivers in Shiloh
- 24-Hour Home Care in Shiloh
- Mobility Assistance in Shiloh
- Parkinson’s Care in Shiloh
- Stroke Recovery Support in Shiloh
- Hospice Support in Shiloh
- Senior Meal Preparation in Shiloh
- Senior Housekeeping in Shiloh
- Medication Reminders in Shiloh
- Veterans’ Home Care in Shiloh
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 Shiloh
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