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Who We Are


It is our mission to provide exceptional, innovative care and support for those who need assistance with daily living, while inspiring others to do the same.

We envision communities where all individuals are empowered and supported, with what they need, when they need it, to live with dignity and choice.

H.A.N.D. is a nonprofit that is dedicated to serving its neighbors in Central Texas. H.A.N.D was started in 1972 by Toni Cabrera after she relocated to East Austin to care for her ill mother. Today, we help approximately 600 clients and employ approximately 250 personal care attendants throughout the year. We provide a variety of services to older adults and people with disabilities that allow them to continue living independently in the comfort of their own homes.

By 2040, older adults are expected to make up 20% of the county’s population. The Central Texas area has the second fastest growing senior population in the nation and 70% of citizens with disabilities live in poverty.



What We Do

Home Support: Attendants assist with activities of daily living, including cooking, laundry, bathing, dressing, housekeeping & more.


Transportation--H.A.N.D. Mobile: Rides are available upon request Monday-Friday 8am-4pm. Please request a ride at least two days ahead of time. Note that rides will be confirmed every 2 days. Same day rides are not guaranteed due to high demand.

H.A.N.D. Mobile is currently only accepting ride requests from our home care clients, previous Keep Austin Mobile clients, and contracted partners. We hope to open this program to additional clients in the near future.


For more information about our services and how to request services from our agency, please visit