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

Disability Care for Adults in Spearman, TX: the local picture
About 113 Spearman residents aged 18 to 64 report a disability (7.1%; 9.5% in Hansford County).
0 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
8.2% of Spearman households have no vehicle (5.2% in Hansford County); say in your posting if you need a caregiver who drives.
Spearman compared with Hansford County and Texas
| Census figure | Spearman | Hansford County | Texas |
|---|---|---|---|
| Residents 18 to 64 with a disability | 7.1% | 9.5% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 0.0% | 1.8% | 3.4% |
| Households with no vehicle | 8.2% | 5.2% | 5.4% |
| Residents 5+ who speak a language other than English at home | 30% | 35% | 35% |
| Residents 65+ with a disability | 39% | 35% | 35% |
| Residents 65+ below the poverty line (approx.) | 13% | 11% | 12% |
| Median income, households headed by someone 65+ | $41,250 | $46,875 | — |
Older residents in towns around Spearman
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Perryton, TX | 26 mi | 963 | 14% |
| Sunray, TX | 37 mi | 128 | 3.8% |
| Guymon, OK | 37 mi | 1,010 | 15% |
| Borger, TX | 39 mi | 1,959 | 17% |
| Cactus, TX | 47 mi | 184 | 3.8% |
| Pampa, TX | 47 mi | 2,920 | 10% |
Home health agencies serving Spearman
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Accentcare Health | Amarillo, TX | 80 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (806) 352-3900 |
| Excelacare Home Health | Amarillo, TX | 77 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (806) 467-1156 |
| Ochiltree General Hospital Home Health Care Department | Perryton, TX | 24 mi | 2.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (806) 435-2122 |
| High Plains Senior Care, LLC | Amarillo, TX | 80 mi | 2.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (806) 355-1899 |
Straight-line miles from the center of Spearman. 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 Spearman
At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 29% of the $3,438 monthly median income of Spearman households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas'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 STAR+PLUS in Texas: using consumer directed services to pay a family caregiver.
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 Spearman: common questions
How much does disability care for adults cost in Spearman?
At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 29% of the $3,438 monthly median income of Spearman households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas'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 STAR+PLUS in Texas: using consumer directed services to pay a family caregiver covers Texas.
More senior care near Spearman
Disability Care for Adults in nearby cities
- Disability Care for Adults in Perryton, TX
- Disability Care for Adults in Sunray, TX
- Disability Care for Adults in Guymon, OK
- Disability Care for Adults in Borger, TX
- Disability Care for Adults in Cactus, TX
- Disability Care for Adults in Pampa, TX
- Disability Care for Adults in Dumas, TX
- Disability Care for Adults in Panhandle, TX
- Disability Care for Adults in Liberal, KS
- Disability Care for Adults in Hugoton, KS
Other care in Spearman
- Companion Care in Spearman
- Dementia Care in Spearman
- Respite Care in Spearman
- Live-In Caregivers in Spearman
- Post-Surgery Care in Spearman
- Senior Transportation in Spearman
- Home Health Aides in Spearman
- Nursing Assistants in Spearman
- Personal Care in Spearman
- Overnight Caregivers in Spearman
- 24-Hour Home Care in Spearman
- Mobility Assistance in Spearman
- Parkinson’s Care in Spearman
- Stroke Recovery Support in Spearman
- Hospice Support in Spearman
- Senior Meal Preparation in Spearman
- Senior Housekeeping in Spearman
- Medication Reminders in Spearman
- Veterans’ Home Care in Spearman
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 Spearman
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