Adult Disability Care in Topsfield, MA: In-Home Support

Local figures

Disability Care for Adults in Topsfield, MA: the local picture

11%

of residents aged 18 to 64 have a disability (9.6% in Essex County)

69

residents aged 18 to 64 have difficulty doing errands alone

4.4%

of households have no vehicle (9.3% in Essex County)

16

Medicare-certified home health agencies list Topsfield ZIP codes in their service area

About 174 Topsfield residents aged 18 to 64 report a disability (11%; 9.6% in Essex County).

69 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

4.4% of Topsfield households have no vehicle (9.3% in Essex County); say in your posting if you need a caregiver who drives.

Topsfield compared with Essex County and Massachusetts

Census figure	Topsfield	Essex County	Massachusetts
Residents 18 to 64 with a disability	11%	9.6%	9.7%
Residents 18 to 64 with difficulty doing errands alone	4.5%	3.7%	3.7%
Households with no vehicle	4.4%	9.3%	12%
Residents 5+ who speak a language other than English at home	3.8%	29%	25%
Residents 65+ with a disability	32%	30%	30%
Residents 65+ below the poverty line (approx.)	6.4%	11%	11%

Older residents in towns around Topsfield

Town	Distance	Residents 65+	Disability (18 to 64)
Danvers, MA	4.5 mi	6,337	8.6%
Ipswich, MA	7.2 mi	640	5.9%
Peabody, MA	7.3 mi	13,277	11%
Beverly, MA	8.0 mi	8,270	9.2%
Lynnfield, MA	8.4 mi	2,338	4.7%
Andover, MA	9.6 mi	1,732	6.0%

Home health agencies serving Topsfield

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Amedisys Home Health Care	Wakefield, MA	11 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(978) 685-2818
Elara Caring	Newburyport, MA	13 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(978) 904-1454
All Care Vna-Greater Lynn Inc	Lynn, MA	12 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(781) 598-2454
Alternative Home Health Care, LLC	Methuen, MA	13 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(978) 657-7444
Tufts Medicine Care At Home	Lowell, MA	17 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(978) 552-4000

Straight-line miles from the center of Topsfield. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

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

Cost

What disability care for adults costs in Topsfield

At the Massachusetts median aide wage of $19.67 an hour, 20 hours of help a week comes to about $1,705 a month in wages. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Massachusetts'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.

Before you hire

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.

Questions

Disability Care for Adults in Topsfield: common questions

How much does disability care for adults cost in Topsfield?

At the Massachusetts median aide wage of $19.67 an hour, 20 hours of help a week comes to about $1,705 a month in wages. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Massachusetts'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 Massachusetts.

More near Topsfield

More senior care near Topsfield

Disability Care for Adults in nearby cities

Other care in Topsfield

More for Topsfield families

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.

In-Home Support for Adults With Disabilities in Topsfield, MA