Find a special needs caregiver
Short answer
A special needs caregiver is a sitter or nanny with experience caring for children with disabilities, autism, ADHD or medical needs. They often charge more than the local sitter rate, and many families start with a few short paid shifts while a parent is home.
- Typical rate
- Often above the local sitter rate
- Typical 2026 range across US metros; big coastal cities run higher. Caregivers set their own rates on Nanny.
- Booking on Nanny
- Free to join. 6% booking fee (min $1.99), or 3% with Plus. Caregivers keep 100% plus tips.
A good fit for
- Regular care with someone who knows your child
- Respite evenings for parents
- After school care with routines and supports
What to check
- Hands-on experience with needs like your child's, not just training
- Comfort with any medication, feeding or equipment, shown to you in person
- How they handle a meltdown, a seizure or an emergency
How it works on Nanny
Describe your child's needs on their private card. Medical details, medications and emergency contacts are visible to a caregiver only during an active booking with your child, and every update lands on the shift timeline.
Questions
Usually more than the local sitter rate, depending on experience and the care involved. Some states and Medicaid waiver programs fund respite care, so ask your regional center or care coordinator.
What needs they have cared for, how they handle a hard moment, whether they are comfortable with your child's medication or equipment, and for references from families with similar needs.