Out Patient Therapy vs Home Health?

When do you choose outpatient vs home health?  For starters, to receive home health services you have to be homebound.  That means that it is difficult or impossible to get out to another facility.  Home health provides nursing, physical therapy, occupational therapy, speech therapy, and possibly social services and aide care (depending on your insurance).  The therapy provided is always one on one.  It is structured to help you to be safe and independent in your home, such as helping you safely cook, navigate in your home without falling, get in and out of bed safely, dress and bathe safely and independently, etc.  Outpatient services are, of course, at another facility.  Outpatient clinics, provide  physical, occupational and speech therapy, but nursing/physician services will have to be at their clinic – as well as any other social services you may need.  Therapy design is different also.  In an outpatient setting, the therapy programs are planned to specifically help you, the patient, move better, communicate better, interact better both at home and in the community.  It is designed to help you decrease your pain and increase your function so that you can be more active at work and play.  For both, how much and how well you progress depends on how much and how well you do the “homework” provided by your therapist.  In an outpatient setting, you get more motivation from interacting with the other clients.  Because of the setting – equipment is available to help you to progress more with exercise and also is more conducive to be able to perform hands on services, such as massage, myofascial release, etc.  Both home health and outpatient services have their benefits; it just depends on where you are in your personal health.