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Friday, November 13, 2026Nov 13

Tennessee families struggle with state agencies to get home-based care for those with disabilities

Drama Bryant, 38, with her brother Jay, 32, on the front porch of their family's home in Greene County. She is his primary caretaker. (Photo: John Partipilo)
Drama Bryant, 38, with her brother Jay, 32, on the front porch of their family's home in Greene County. She is his primary caretaker. (Photo: John Partipilo)

MOHAWK, Tenn. – Drama Bryant’s entire life has revolved around caring for her little brother, Jay, who – at 32 years old – requires 24/7 assistance as a result of congenital conditions that leave him unable to eat, bathe, go to the bathroom, speak or walk unassisted.

Jay Bryant has Down syndrome and autism, suffers seizures, severe reflux disease, eczema and lives with chronic pain. If no one is looking, he will try to eat grass, dirt, rocks or other inedible items. When he’s distressed, he hits himself hard enough to leave marks.

His intellectual and physical disabilities qualify him for a program operated by the Tennessee Department of Intellectual and Developmental Disabilities that is supposed to provide Jay with 337 hours of professional care each month in the home he shares with his 69-year-old mom – who herself is disabled and suffering early symptoms of dementia.

But his family has gotten no outside help. Instead, it has fallen to Drama Bryant, 38, to step in to care for her brother, full time, while their desperate search for caregivers continues.

Tennessee, much like the rest of the nation, has long experienced a shortage of workers willing to take the low-pay, high-stress jobs that are vital to helping people with severe disabilities live with dignity in their own homes and outside of institutions. The caregiver scarcity has reached crisis proportions during the new COVID-19 era of labor shortages.