When families begin exploring in-home care, one of the most common questions they ask is whether they need companionship care or a personal support worker. The terms are often used interchangeably, but they serve different purposes depending on a senior’s needs.

Understanding the difference between companionship care and personal support workers can help families choose the right level of support—without overcommitting or overlooking important needs.

Below, we break down what each type of care involves and when each option makes the most sense.

What Is Companionship Care?

Companionship care focuses on social, emotional, and day-to-day support. It’s designed for seniors who are largely independent but may be experiencing loneliness, isolation, or difficulty keeping up with daily routines.

Companionship care often includes:

• Friendly conversation and social interaction
• Help with daily routines and reminders
• Accompaniment to appointments or outings
• Light meal preparation
• Engagement in hobbies and activities

This type of care is especially helpful for seniors who live alone or whose families cannot visit as often as they would like.

Best for: Seniors who need connection, routine, and light assistance rather than hands-on physical care.

What Is a Personal Support Worker (PSW)?

Personal support workers provide hands-on assistance with physical and personal care needs. This level of care is appropriate when health, mobility, or safety concerns begin to impact daily life.

Personal support worker services may include:

• Assistance with bathing, dressing, and grooming
• Medication reminders or supervision
• Mobility and transfer support
• Help with toileting and continence care
• Monitoring safety and overall wellbeing

PSWs play a vital role in helping seniors remain at home safely when daily activities become more challenging.

Best for: Seniors who require physical assistance, mobility support, or closer supervision.

Key Differences Between Companionship Care and PSWs

• Level of care: Companionship focuses on emotional and social support, while PSWs provide hands-on physical assistance.
• Medical involvement: Companionship care is non-medical; PSWs assist with personal care related to health and mobility.
• Flexibility: Companionship care is often lighter and more flexible, while PSW care may follow structured care plans.
• Cost considerations: Companionship care is often more affordable for families who do not yet need clinical-level support.

Which Option Is Right for Your Parent?

Choosing between companionship care and a personal support worker depends on your parent’s current needs, not just today, but how those needs may change over time.

Many families start with companionship care to provide connection and routine. As needs evolve, they may gradually introduce PSW services for additional support.

There is no “wrong” choice, only the choice that best supports safety, dignity, and quality of life.

When Dementia Is a Factor

If your parent is experiencing memory loss or cognitive decline, care needs may change more quickly. Dementia care often combines elements of companionship and personal support, with added focus on routine, safety, and understanding.

Early support can make a meaningful difference for both seniors and their families.

A Thoughtful Next Step

If you’re unsure which type of care is appropriate, you don’t have to figure it out alone. A conversation can help clarify options and ensure your parent receives the right level of support—now and in the future.

If you have questions about in-home care or would like guidance choosing between companionship care and a personal support worker, a simple conversation can help you understand your options