Thursday, December 4, 2014

Conversations with Public Health and Social Work Professionals - Giselle Balfour, MSW, MPH


Giselle Balfour, MSW, MPH
PhD Student, School of Social Work, University of Georgia

Prashikshya Karki, a current MSW/MPH student at the University of Georgia, sat down to speak with Giselle Balfour, MSW, MPH, who shares her insight into what it means to be a dual MSW MPH professional.

Tell us a little about your education and professional background.
I am currently a PhD student in the School of Social Work at the University of Georgia.  I am originally from Trinidad and Tobago, and I migrated to the United States in 2008 to complete the MSW program at UGA.  Following that, I earned an MPH degree.  Before coming to the US, I worked as a health program administrator for the International Federation of Red Cross Societies in the Caribbean.  In that position I worked with a number of health programs including ones focused on HIV and AIDS, and that is what precipitated my interest in both social work and public health.  Actually, I have been doing HIV/AIDS work since I was a teenager in high school as a volunteer.  Once I graduated with my Bachelor’s Degree, I went into HIV/AIDS professionally at the Red Cross, and absolutely loved it.  For a long time, I went back and forth as whether I wanted to do a graduate degree in social work or public health because of my interest in HIV/AIDS.  I decided on social work first because, quite honestly, I felt I was more oriented toward social work – I wanted to help people.  After earning my MSW, I worked with the Georgia Division of Family and Children Services as a Social Service Supervisor for 4 years.  I couldn’t find a job in HIV and AIDS, and I thought maybe if I earned a MPH, I would be able to more easily get into that field.  But, as I was doing the public health degree, within a year I had decided that I wanted to do a PhD.

What drew you to pursuing a PhD in Social Work after earning an MPH?
I personally feel like I am oriented towards social work even though I love public health.  The decision to go to that direction does not negate what I learned in public health.  I still have the knowledge and skills there, but I feel like I am more oriented towards a social work approach to any subject area.  I feel social work looks at the issue from a broader range.  This resonated with me because I wanted to look at issues from a wider perspective, not just from the health perspective.  The health perspective is extremely important, but for me personally, I prefer to look at things social work’s person-in-environment perspective.  I am a born and bred social worker, and that is just who I am!

Do you see the MSW and MPH complementing each other?
I definitely see having both the MSW and MPH as an absolute plus.  I am glad I earned both degrees, and I think ultimately, even once I graduate with my PhD and go into academia, I will continue to use the skills and the knowledge I gained from the MSW and MPH.  I feel like the MSW helped me understand the individual.  We try to help people using the person-in-environment perspective – looking at the way the environment impacts them and the way that they impact their environment.  Public health looks at the population, and also looks at all those environmental factors that we consider in social work.  

Do you see any differences in the MSW and MPH?
In my opinion there are some small differences.  Of course public health is very much oriented towards health.  Social work looks at the whole picture, everything from the physical well-being of an individual to the psychological well-being, and all the factors that impact the individual and the community.  On the other hand, public health is much more specific about what it looks at.  Of course those things intersect, but social work looks at the broader picture, I believe.

How are you applying MSW and MPH competencies to your current work?
I am using both skill sets as I plan my dissertation.  My dissertation topic is Commercial Sexual Exploitation of Children (CSEC), and this issue has both social work and public health elements.  I will be looking at both of them as I formulate my dissertation.  It is going to be an interdisciplinary approach to the topic.  Most employers now want that interdisciplinary perspective – even in addressing CSEC, almost every state is looking at a multi-sectorial approach where they are pulling child welfare agencies, criminal justice agencies, and public health agencies together to create a solution to this problem.  I already come from two sectors, so I believe this gives me an advantage. 

In terms of CSEC, from the public health perspective, we look at the health implications.  We have children that are being prostituted.  A lot of their clients are married men who may engage in unprotected sex with these children, thus there is the definite risk of spreading diseases not just with children, but also with multiple partners.  So it’s not just spreading within that community, but then these men take that back to their intimate families - their wives or girlfriends – and so there is that public health perspective for me.  

From the social work perspective, I am looking at the psychological trauma that happens with those involved in CSEC.  I am looking at the way that ultimately impacts their family, and the way that ultimately impacts society.  In my background in child welfare, a lot of these kids who are being exploited have been abused either sexually or physically and they may see prostitution as a way out of the lives they are in, and they may see their pimps initially as another family, as their savior from this.  The social work piece comes in as we want to help restore those families, and public health looks at the risks not only to the children but to society in general because of the sexual activities taking place within this industry.  So I am looking at the way that CSEC impacts society in general not just in terms of health but also in terms of every other piece.  So definitely there is room for both.

Do you think that having an MSW and MPH and PhD in Social Work will make you a strong contender in the job market?
Definitely!  Like I said, a lot of employers are interested in a wide range of knowledge, and so to be able to go to the employing agency knowing both social work and public health, I can definitely bring a very different perspective than many other employees in the job market today.  If I come to an agency that is dealing very specifically with HIV and AIDS, or CSEC, I already bring two disciplines to the table, and that may be one less person they have to hire because I can address both perspectives.  It will definitely give me an advantage in whatever area that I choose; I think employers will love to have the asset of bringing these two perspectives to the table.

What advice or suggestions do you have for students who are pursuing dual MSW and MPH degrees?
I think that it can, of course, be overwhelming to pursue two degrees at the same time.  But you need to stick with it and know that ultimately it will pay off in the end.  You may not get a job that perfectly blends the two degrees, but whatever job you take, you will not lose the skills that you have gained.  Even if you are doing something that is social work oriented or public health oriented, you will never lose the knowledge and skills that you have gained, and you will personally be able to apply those skills in any task you are doing.  I suggest you stick with it, work hard and pay attention to both perspectives, as they are equally important.  Having two degrees will be an advantage for you when you go out into the job market with thousands of other candidates.  What you bring that is different than any other candidates will be those two degrees.  Having knowledge not only in social work but also in public health means you can bring a very different perspective than most other candidates.

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