For families

Sitters for adult family members with special needs

If you care for an adult sibling with autism, a partner with an intellectual disability, or an adult child who lives with you — finding someone qualified to sit for a few hours is harder than finding a kid sitter. National marketplaces assume kids. Public programs are paperwork-heavy. Local agencies want full-time commitments.

We sit for adults too. Many of our Direct Support Professionals work with adult clients during the week — at day programs, in residential settings, through DD Waiver services. They sit through us for weekend hours that pay better than what their day-job employer pays for the same work.

What to expect

What your Sidekick will and won't do

  • Sitters who understand that adults are adults. They do not infantilize. They follow the routine you describe and do not invent a new one.
  • Comfort with whatever the day-to-day looks like — meals, hygiene, medication reminders, transitions, the quiet time on the couch that some adults need more than activity.
  • Real backup. Sitters who treat your sibling, partner, or adult child like the person they are — not like a charge to be managed.
  • Continuity. If you find the right sitter, favorite them. They will show up first in your next matches and the booking gets smoother every time.

Boundaries

What we don't do

  • The sitter is sitting, not delivering professional services. They do not run a behavior plan, do not chart sessions, do not document progress against goals.
  • We do not bill Medicaid, the DD Waiver, or any insurance. Cash pay only. Our sitters are not employed by your fiscal agent. (If you self-direct your DD Waiver and want to hire one of our sitters through your fiscal agent, that is a private arrangement outside our platform.)
  • We do not administer prescription medications. The sitter can hand a routine dose to your adult family member per your written house routine, but they do not measure, calculate, or document.
  • We do not represent our sitters as professional DSPs when they are sitting through us. They are sitters with day jobs in the field — the day-job role stays at the day job.

Booking tips

How to set up a good first booking

  • Write the day's routine in the profile field (the label still says 'kid profile' — we will fix that). The sitter follows what you wrote.
  • If your adult family member uses adaptive equipment, list it by name. Sitters who know the model will say so before they accept.
  • Tell the sitter how your adult family member likes to be addressed. Some adults prefer their first name; some prefer a nickname; some prefer a title.
  • Favorite the sitter who clicks. Fit matters more for adult bookings than almost any other variable.

Common questions

Is this also for adults with autism?
Yes. See /for-families/adult-autism-sitter for the dedicated page — that is where you will find the autism-specific framing and a sitter pool with the most adult-autism experience.
What about adults with an intellectual or developmental disability?
Yes. Many of our DSPs work with adult IDD clients during the week. See /for-families/adult-idd-sitter for the dedicated page.
Will the sitter help with hygiene tasks?
Within reason and with your adult family member's consent. Write the routine in the profile and the sitter will follow it. The sitter is not a licensed personal-care attendant — full-time PCA work belongs with a licensed home-health agency.
Can I use the DD Waiver to pay for your sitters?
Not through our platform. If you self-direct your DD Waiver budget and want to hire one of our sitters as your direct-care staff, you would do that outside our platform — a private employment arrangement between you and the sitter. We do not bill Medicaid and we do not employ the sitter in that capacity.
How is this different from a publicly-funded in-home support service?
Public-program caregivers (paid via Medicaid, vouchered programs, or the DD Waiver) require qualifying paperwork and typically come from your adult family member's natural support network. Our sitters are private-pay, no paperwork, no waiting list — and they are off-duty pros from the SpEd, RBT, DSP, and paraeducator world. Many families use both. Our /guides cluster has a longer plain-English comparison.

Other adult bookings

Common bookings

Find a Sidekick in your city

Your adult family member deserves a Sidekick who already gets it.

Tell us what helps; we'll match with a Sidekick whose weekday work fits.