Not all caregivers are the same—and if you’re looking into home care for a loved one, you’ve probably come across two common titles: PSW (Personal Support Worker) and HSW (Home Support Worker).
At first glance, they may sound similar. But the difference between them can impact the kind of care your family receives.
What Is a PSW?
A Personal Support Worker (PSW) is a certified caregiver who can assist with both daily living tasks and more complex personal or medical needs. PSWs undergo formal training, usually through accredited colleges or programs.
PSWs can help with:
- Bathing, grooming, toileting, and dressing
- Medication reminders and administration support
- Mobility assistance (transfers, use of lifts)
- Monitoring for health-related changes and fall prevention
Many PSWs also have training in:
- Dementia and Alzheimer’s support
- Palliative and end-of-life care
- Managing chronic illnesses like diabetes or Parkinson’s
A family in Richmond Hill shared how their PSW helped their father stay in his own home during cancer treatment—coordinating with his nurse, helping with pain management routines, and providing emotional support.
What Is a Home Support Worker?
A Home Support Worker (HSW) helps with non-medical support tasks. They are not required to hold a formal certificate but may have practical caregiving experience.
HSWs can help with:
- Light housekeeping and laundry
- Meal prep and grocery shopping
- Companionship and conversation
- Reminders (for eating, hydration, light exercises)
If your loved one is mostly independent but needs help with keeping their home tidy or staying on a regular routine, an HSW may be a great fit.
We’ve worked with many families in Markham who have used HSWs to provide friendly check-ins during the week. One client’s mother enjoyed the companionship so much that she began baking again—something she hadn’t done in over a year.
Key Differences
| Feature | PSW | HSW |
|---|---|---|
| Certification Required | ✅ Yes | ❌ No |
| Personal Care (bathing, etc) | ✅ Yes | ❌ No |
| Housekeeping | ✅ Light | ✅ Yes |
| Medication Assistance | ✅ Yes (non-injection) | ❌ No |
| Complex Medical Support | ✅ Some training | ❌ Not trained |
| Cost Per Hour | Slightly higher | More affordable |
Which One Does Your Parent Need?
Ask yourself:
- Do they need help with dressing, bathing, or mobility? → PSW
- Are they recovering from illness or managing a chronic condition? → PSW
- Do they just need some help around the house and regular check-ins? → HSW
- Would light companionship and a helping hand improve their quality of life? → HSW
If you’re still unsure, that’s normal. Families across the GTA—including Toronto, Ajax, and Vaughan—often start with a call to discuss the best path forward.
Combining Support for Flexibility
Many families opt for a blended schedule. For example:
- PSW visits in the morning for personal care
- HSW visits in the afternoon for light cleaning and companionship
This approach keeps costs manageable while still ensuring your loved one gets the support they need.
Final Thoughts
Choosing the right caregiver type isn’t just about credentials—it’s about matching the support to your loved one’s lifestyle, health, and preferences.
We’re here to guide you through that decision with care, clarity, and compassion.