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Small Acts, Big Impact: Elevating Safety and Mental Health with Dr. Keita Franklin

Small Acts, Big Impact: Elevating Safety and Mental Health with Dr. Keita Franklin

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In recognition of Mental Health Awareness Month, we’re proud to feature an inspiring conversation with our returning guest, Dr. Keita Franklin. Drawing from fascinating research in her latest book, The Humanity Cure: How Small Acts Can Change the World, we explore how small, intentional acts of care can make a significant impact on workplace safety and mental health. Dr. Franklin discusses how being present, showing compassion, and fostering a sense of belonging can create meaningful change across entire organizations and communities. She also highlights the critical link between mental health and safety, emphasizing how frontline leaders who demonstrate active care, along with peers who consistently support one another, help build psychologically safe workplaces where people feel valued, engaged, and committed to working safely. We also explore the transformative ripple effect of small acts of kindness and how helping others fuels a cycle of connection, resilience, and forward momentum. Don’t miss this impactful episode as we take a deep dive into how small acts can make a big impact in elevating both safety and mental health.

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Real leaders leave a legacy. They capture the hearts and minds of their teams. Their origin story puts the safety and well-being of their people first. Great companies ubiquitously have safe yet productive operations. For those companies, safety is an investment, not a cost. For the C suite, it’s a real topic of daily focus. This is the Safety Guru with your host, Eric Michrowski, a globally recognized ops and safety guru, public speaker and author. Are you ready to leave a safety legacy? Your legacy success story begins now.

Hi and welcome to the Safety Guru. Today I’m very excited to have with me Dr. Keita Franklin, who’s back with us on the show. She has spent decades supporting active duty and veterans. She’s now in the private sector as an author. We’ll talk about your book very soon; the Human How Small Acts Can Change the World. She’s also with Columbia University as part of the Columbia Lighthouse Project. Keita, welcome to the show. Very excited to have you with me. 

Thank you for having me. I appreciate it.

So, let’s get started in terms of maybe a little bit of your background and how you got into this space and then we’ll get into the meat of the topic about the small acts that can change the world.

Yes, I spent a full career working with the active-duty population and their families and veterans, mostly around topics related to trauma, child welfare, sexual assault prevention, domestic violence. And then in the last probably 10 plus years I was more narrowly focused on suicide prevention and working on hard issues around public health approaches to saving lives with active duty and veterans. And so, I’m now in private sector but I continue to work across a host of vulnerable populations on these types of issues.

So, so let’s get into this element around how small acts can change the world because I think it’s an incredibly powerful topic. One because we’re releasing this as it’s mental health awareness month. But also, your book is, is being released hopefully this month, hopefully at roughly the same time as the episode launches. So, tell me a little bit about how small acts can change the world.

Yes, you know, I, after I shared with you, you know, I had this full career and you know, really focused in many cases on to include like leading at the national level and doing a lot around evidence-based practices. And it occurred to me probably about two years ago that, you know, we’ve had this sort of chronic problem in the field of mental health where we’ll never have enough providers to meet the demand in our field. There’s a lot of people struggling with issues, depression, anxiety, post-traumatic stress and we’ll just never meet the demand. And coupled with that, I started thinking about like, what do I know to be true? That is very much at the core of helping people feel better, helping people feel like they’re well. And I know some basic things that I think we just weren’t leveraging enough. And so, it occurred to me that I should pull these stories together and really write about it. And those concepts are really basic concepts that we’re not doing enough, like connecting with one another, making sure people feel like they belong, showing a sense of compassion, just sort of showing up, being present for people.

So, there are a couple of things that I see started sort of themes over the years and I pulled them all together. And I really sort of argue in the book that if we were doing all of these things and we were doing them well, we would likely release some of the burden on mental health because everybody might not need to go to this sort of high and right clinical intervention if they just sort of felt supported day to day. So that was some of the early thinking or early concepts behind the book.

Sure. And tell me a little bit about as well, the ripple effects of these small acts.

Yes. So, as I start digging into the research, this is like probably a no brainer to you, but I started digging into the research and I intuitively knew that when you help others, it feels good to you.

Right.

And you feel like you’re doing a good thing. And it’s, you know, over the years I knew that volunteerism is sort of something we can do to eliminate depression, getting people out, getting them feeling like they’re, you know, paying it forward in their communities. So, I knew this. But in, until I got into the research, did I really start to understand the power of the reciprocal nature between helping others and how it helps you, but also when you help others, they tend to then help others. And it just creates this ripple effect in families and workplaces and society where helping others creates a bit of a momentum where people then feel more empowered to, to pay it forward. And there’s just so much goodness that comes from that sort of ripple effect.

Fascinating. And it makes sense, right? Because. Absolutely. More when you’re doing something positive for someone else, you feel good, but also that another person feels good. And then you had a story about a coffee line as well and how that connects with the small acts.

Yes. You know, so I was in the throes of writing this book and I’m in the research and I’m really looking at things like, you know, early research on like big Brothers and big sisters and how people get assigned a mentor and how that can be life changing. And I’m, you know, pulling the thread. And I, funny enough, I’m in a conversation with my own father about it. And you know, he’s a Vietnam air veteran and I’m sharing this with him and I’m talking about just the power of just like a single conversation. Like it doesn’t have to be a long relationship, but sometimes you can just have a conversation in a coffee line. So, I’m in this conversation with my father and he’s driving back from Virginia to Maine, and he says to me, you know, I stopped off at the exit and I, I tried your method that you told me. I got into a conversation with this woman in line in front of me in the coffee line. And initially I’m thinking, oh goodness, dad, what are you doing? Right. So, he tells me that he got into this conversation and it was awkward at first and you know, he doesn’t know the person, it’s a stranger, but it was a pleasant conversation.

And then he got up to pay for his coffee, and the person had decided to pay, pay for him. And you know, we’ve all heard stories like that. But the important part for me was that my father then got to the car and phoned me and said, you know, I, I tried your method and I felt really good about it. You know, I felt like I had this positive interaction and for her, like she was by herself. You know, she was in line, she was, you know, he told me she was buying a gallon of water. I don’t know why she would need a whole gallon. But you know, we had a great conversation, and he felt good doing it. And then she obvious felt good. You know, she ended up treating dad to a cup of coffee. And I thought, well, you see, that’s a tiny little micro action in action, sort of what I’ve been talking about in the book. So countless stories like that though, where you see, where people have a small moment of exchange when you don’t know, like, maybe they’re feeling very fragmented that day or they’re feeling isolated or lonely.

And then they see someone who smiled at them and said hello. And they’ll say later, like this small act just like change their whole day, which then changed the next day, which then helped somebody else. And I just could not be more excited about those sorts of examples.

It’s ironic when you mention this because I was actually listening to an episode of Tony Robbins and he’s telling over the weekend and he was Telling this story around a small act, a small moment that he made in a restaurant. And it was all about celebrating somebody who had given him the most amazing service, whatever the name of that particular restaurant was. And then he walks through how that small, small act of kindness essentially then asked to speak to his manager, insisted the manager give him a raise, said that he was the best survey he’d ever received. Then when he went back, they all clapped in terms of the level of service. And then he talks about the ripple effects and then the connections in terms of how it impacted his daughter. His. His daughter had. And a job opportunity in that particular restaurant later, even if she was below the age, you normally hired for that created a relationship. And so, he talks about all the ripple effects. And there were about 10 different ripple effects from that small act of kindness, including where he had a business lunch, I think it was, that he mentions and even gave it to him for free because of the impact that he had had as part of that restaurant’s family.

So just that small moment. Wow. And you choose to do something different and all of those effects. So that was just from reading over the weekend. 

This is exactly the type of thing that I’ve been writing about in the book. And, you know, I had a similar one. I. This was years ago, but I had taken my children out for ice cream. We’re in the ice cream shop, and there was somebody there that was visually upset. She was crying, maybe in her young 20s. And she had been. She was borrowing the phone of the ice cream shop. And I was a little bit nervous, sort of watching her, wondering, like, is she okay? But I ended up going over and talking to her. And lo and behold, she had been living in a group home. And there was some sort of a scuffle that resulted in them telling her she needed to leave. And you could tell that she had some developmental delays and that she was really struggling, and she didn’t know where to go. And I ended up, like, sort of helping her right then and there and like, stabilizing and making some calls and helping her figure it out. And of course, the intent was not for her to leave that group home. Like, there was obviously some issues going on there. 

Like she belonged there and she needed to get re plugged back in. But it was really. I was a complete stranger to her that day. And similar to your example, like, you can be a stranger, and it can be a simple thing, like, like a great service or even intervening on somebody who looks visually upset. Like, how many of us have walked by and seen somebody that looks maybe like they’re not okay. Right. And you know, you can slow down and take some, a few moments and do some small thing and then get them plugged back in where they’re looking for. And in a way they might not have been able to do it themselves. Like, we all as humans need each other, you know.

Correct. And so obviously a very powerful story from a mental health standpoint, very impactful. And I think as we’re walking out of a, of a pandemic where people felt even more isolated, there’s even less of those interactions, I would argue, these days than there was probably prior to 2020. Let’s talk about why these matters for safety, because for me it’s, it’s apparent, but there’s a very strong connection. You talked about before, the, the element of how you can change workplaces. This is an example of how you can do these small acts and how it can have a powerful impact in the workplace.

Yeah, I think there’s a small, a strong connection between these small acts of humanity in the workplace that result in, like, in increasing the safety that then tie back to organizations like ROI or their actual bottom line. And so, you know, bear with me. But like, when you, when you connect the dots between people feeling psychologically safe, like they’re able to be themselves at work, they can speak up, they can have healthy debate, they can still get their mission done and their voices heard and they feel like they belong. I know that I belong in this workplace and that if I’m not here, people are going to look for me and they’re going to sort of miss me not being here because my part of the mission is so critically important. For this reason. It actually buffers against a host of things like isolation, depression, loneliness, and makes the team work better in such a way that you’re less likely to have safety mishaps. You’re less likely to have presenteeism. People sort of physically present but not really present. You’re less likely to have people not fully engaged and at work. And so, I do think that there’s a close connection to making sure that the safety system is working as it should by ensuring people feel these small acts throughout the day and that people are checked in on and that they belong and that you’re not just asking someone, is everybody okay today?

Okay, let’s get started versus like, how are you really doing? Like, tell me how you’re really doing and not just accepting that first answer. And the research shows this, like when people feel, stay quiet and they maybe have their cameras off if they’re in remote or they feel like there are, like they don’t quite belong, they don’t perform their best and then you know, there is a likelihood that you could have incidents and things that you’re not looking for in the workplace.

And I think what you’re talking about one for my mental health well-being, at the end of the day safety is still human. That yes, you can put in a lot of controls, you can put a lot of elements to prevent error from having a consequence. But in most workplaces if you’re not well, your attention is not on the job. When you even talked about presenteeism, you’re not necessarily assessing risks in the way that you should be looking at risk because there’s a different element of risk tolerance as well that can come in which can be very dangerous from a safety standpoint. There’s clearly a link from a mental health well-being and ultimately a safety outcome. But there’s also the element I would say from all the research in the safety space is this element of active care. The leader who shows active care for their team members is you’re going to get in return somebody willing to do more, show up at a different level and do things better from a safety standpoint. So, I think it really connects to active care from a safety standpoint. But also, this element of well-being is key to safety outcomes.

Right. Like it’s the foundation. Right. I always used to think back in the day we would come up with these things for military commanders, and they were like call the commander’s checklist. We would have a checklist for everything. Right. And of course that’s the way the military is bred. Like the pilots have their checklist and for all the right reasons, like we’ve got to make sure that safe and that we’re following the checklist. But we would have policies and then we would train the troops and the, and our civilian personnel like to the policy, and we do all of these things to get the system working well. Sure. Critically important. I wouldn’t tell you to stop having policies and you know, eliminate training. But I would tell you equally important is like do they know one another? Like are they connected? Do they know one another by name? Do they know the names of one’s family members and how special that feels when people say how’s Susie? Or how’s Johnny? I know you just finished third grade and summer’s coming. The idea of human connection is equally as important as that policy document that we push through at work.

And I would say, particularly even with elite teams like Navy seals, et cetera, you would want to have that very tight bond because they’re, they need to rely on each other, trust each other. But the same applies in the workplace, I think so.

And, you know, we, we talk a lot as well with like, first responders and the likelihood of people asking for help when they need it, after they’ve been exposed. In some of these workplaces where they get exposed to trauma, when they feel connected and they feel like they belong and they’re in and they’re not going to be judged, they’re also more likely to raise their hand and say, I need help. I just saw this incredibly, you know, traumatic thing and, and it doesn’t mean I’m out of the fight or I no longer belong here. It just means I need a little help. I need some peer support. So, I do think it’s at that, like, as you described with Active Care, it’s at the foundation for all the other things that workplaces can do to make sure people feel safe and create environments that are safe too.

And ultimately, to me, that’s one of the key pieces’ leaders have to make safety personal. And making a safety personal is talking about with vulnerability. Why safety matters to me as a leader, but also for frontline team members. If I don’t know who’s on my team, who they’re staying safe for, so it could be their kids, I don’t know what’s happening in that environment. You’re not going to get people showing up in that particular way. And yes, we can hope that one day we can eliminate all hazards. We can control every single hazard. But until that day, there’s still humans making choices and decision that can get in harm’s way.

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Yes, and I was, you know, thinking too about our conversations about safety issues in the workplace just around like, the basics of like, filing a report. And, you know, I’ve worked a lot in healthcare and of course we do this as well in healthcare systems. And just this notion of small acts around, like, really closing the loop. So, like, we might think that we’re closing the loop by, like, doing the necessary administrative actions and we might think that we’re closing the loop by, like, you know, giving a brief after the fact to tell people the lessons learned and, you know, bringing the teams together and, you know, this is what happened with this spill or this incident. But in fact, like, closing the loop with the people one on one.

Like, I noticed you saw this at work, you know, on a last Tuesday. You know, I know we’re doing the administrative part of it, but what was that like for you? Like, actually, like checking in and truly closing the loop with people. Because these incidents, they don’t just particularly the ones I’ve been exposed to. I know not all safety is traumatic in nature, but they don’t just disappear from their mind. Like, they’re not just gone. They stay with them and be a part of who they are. So, I think the more we really close the loop and make sure that folks are truly okay, the better we’ll do as organizations. Organizations, right.

So, what can leaders do? What. What are some of the things they can do to create this environment with people encouraged to do these small acts of kindness?

You know, it’s such a good question because I spent a lot of time, you know, thinking about specific actions that leaders can do. And on the one hand, you might think that I’m going to tell you these, like, grand big things, and I wish that were the case because. But it’s not. Most of what I will share with you, you will be surprised how simple, basic, and easy it is, and one we’ve already talked about. And it’s just. I call it like, asking the second question. So, it’s the question that you ask when you say, how are you? And then they say, fine, thanks. And then you have to come back with, like, no, really, how are you? I know you said you’re fine, but, like, I see this. Or, you know, like, really, like, ask the second question.

Sure.

And then I say also, like, notice when people are slightly different or when they go quiet. And this is hard. And I think you and I’ve talked about this in telework environments, like, when people are virtual. Like, you have to notice when they turn off their camera. You have to notice when they’re quiet when they’re normally not. And then you have to know that withdrawal is actually, you know, it’s a safety signal when. When people disengage or they withdraw. Like, put that in your little. In you. In your wrist dial as, like, a safety. A safety signal because they’re less engaged. Sure. And it’s a data point for you as A leader. The other one I would tell you is, you know, we have a tendency, and I’ve been guilty of this over the years, like you have. There’s such a push on, like getting the mission done. So, you’re like, let’s get our teams together. Let’s, let’s get on track. What’s our agenda? Let’s move out. I’m trying to be, and I challenge leaders today, more purposeful with hearing the junior people first on our teams.

Yep, very powerful. Yes.

How do we know where the rubber meets the road if we don’t slow down and listen? And it’s so quick to like, turn to the senior people in the room who of course have the most experience. And probably, you know, you want your input from your best people. But there is something to be said in terms of a culture of belonging when you just turn to the youngest, newest person on the team and you sort of ask them, how is it going out there? You know, you’re, you’re on the front lines share and like, really model that everybody needs to listen to the most junior person. So, I think that’s like a tactical, easy thing. And the other, I, you know, the other thing I can, that I wrote about in the book is like using feedback as a place for connection. And so, like when leaders are giving feedback, they’re giving it in such a way that, where you’re building a relationship that that stays intact and that it’s not like a quick system of accountability, you know, I gave Mr. Smith feedback today and now I can check that box. I developed a relationship with Mr. Smith today and based on that relationship, we’re working on this together and I’m, I’m part of helping him work on that.

So, I just think there’s a number of things. The last thing I would tell you is about transitions and this, I learned this in healthcare. But I’d be curious what you think as well. On non healthcare organizations, periods of transition are high risk. So, like when someone first gets a job, it’s a high risk. Time they’re new, when they’re off boarding into retirement, that’s a high risk in healthcare. When they’re moving between parts of the healthcare system, there’s a propensity that they could fall through the cracks.

Makes sense.

So, I just say we should think about these periods of transition within organizations, like when we’re going through large change management, when we’re moving people from one team to the next. And I would say reach out before they end up having an issue. So how do we study or dig in during periods of transition in a better way within our organizations.

And if I may, I would think that transition also could be. If you’re aware of who’s on your team, those transitions could also be personal.

Having a baby, having a divorce.

Correct. Yeah.

Things that, that could impact.

You’re right.

Distractions that could maybe introduce new risk or maybe introduce a better cause to stay safe. And I think it’s part of that element of the more I know you, the more I know what’s going on with you, then I can check in and say what, what, maybe you look tired today.

Yes.

And, and using that as a, as a component, I would agree when somebody isn’t typically and I’ve seen some variability on these stats, but new enroll typically has higher injury risk. As you’re still trying to understand the tasks, you’re still trying to understand how to fit into the, into the culture and you may not necessarily know the hazards you haven’t been trained for then. The other part is what I’ve seen, and this varies is it’s either late in career or what I’ve seen in some instances was actually late in career in the years prior to your ability to retire. And those who could retire and who stayed on very different driver because many of them wanted to be there, there was a different motivation versus I can now check out and leave, right?

Yeah. I can’t say enough about these periods of transition. I appreciate you bringing up the ones that go on personal because it’s like at the micro and the ma periods of transition for us as an organization, but periods of transition for all the people that are in that organization as well. And how do we pay more attention to those as periods of vulnerability for us as safety leaders and really zone in on them? An interesting stat that I, that I wrote about in the book has to do with caregiving that I think many, many leaders may not know. One third of the nation is right now engaged in caregiving either for parents that are aging or I don’t just mean parenting, like regular parenting is not in the caregiving stats. But I mean special needs sort of caregiving for, you know, chronically ill children, special needs children or catastrophically wounded veterans, traumatic brain injury and the like. When you put all of those together, that’s a lot. Yes. Chances are if you’re running a team of 100 people, 33 or so of them are probably involved in caregiving. And that’s also a period of transition.

Like, okay, now I’m responsible for making sure that grandma Gets her medicine and that she’s supervised and not, you know, walking the neighborhood with, you know, early onset dementia or the like. And so that will play itself out in our work environments if. And the more that we can tend to that in a proactive way, the better.

And it goes back to knowing, understanding your team, understanding what’s going on, acts of kindness in terms of connecting with them. But also, there’s an impact when I think of safety, there’s a direct impact on these things around fatigue, which we know is a precursor to many injuries. Distractions, which we know is a precursor to many injuries. Are all of these items can increase your propensity to have an injury or do something that you shouldn’t have done. And so even just that awareness, I think I shared last time with you, this story of I thought was really powerful. It was a supervisor who noticed that one of the operators that was going to use a very heavy piece of machinery on the shift looked a little bit different because he knew what she normally looks like and had a general sense that something was a little bit off. She was a little bit distracted that day. So, he just went and checked in, how are you doing? And she opened up and said, well, actually I lost my home last night. I was evicted and we slept on the street.

Wow.

And because of that, obviously he was able to remove her from the high-risk equipment machinery. Realizing this is not the right thing. But that requires you to know your team.

Yes.

That requires the culture to encourage this. Right. So, leaders above that, to create those acts of kindness so that it becomes an expectation across the organization.

So true. Small little things and paying attention to your gut when you see those small little things. This leader, in this example that you described, say nothing had happened to that employee the night before. And that leader sent something a little bit and went over and checked. And if they were okay, that would have been okay.

Yeah, absolutely.

In fact, it would have felt really good. As the person that’s about to do this, like, heavy equipment role, that somebody on my team was really checking on me before I did it like that, that would have felt so good to me if I were that employee. And if they were okay, that’s. That, that, that’s terrific. But in the slight chance that they’re not and you as the leader is able to make that intervention, pull them off the line, put somebody else in, that’s in a good spot. Not in a punitive way, of course, but in a caring way. And, you know, and, and like, let’s talk like, come let’s go sit down or and if you as the leader, because I always hear this from leaders, they just don’t have time there. In many cases, leading large, huge teams and like, you don’t have time to sit and have coffee with every single employee. But we can sometimes find a peer who can. And as a leader, you can talk to them for as much time as you have, but then you can also set them up with somebody else and continue to stay involved as a touch point, like I just say, like, use other people as force multipliers in such a way that you’re like building peer support as part of the culture and really having people help people.

So, my key takeaways are one, you want the frontline leaders to have that sense of active care to check in doing these little acts. You want peers to do the same with each other, which creates, if you created that environment where it’s now the norm that we’re checking out, checking in with each other and doing these small acts for each other creates a better sense of connection to the organization. For senior leaders, it’s the element of, as you do these small acts, it will have ripple effects, it will cascade, it can help influence the broader culture. So, making the time for those little things, and then the last one is really to your coffee line example is we can all do it in our personal lives. We can all choose to make somebody’s day. This Tony Robbins story I shared, in terms of recognizing something above and beyond, but finding ways to connect with others and having those ripple effects.

Yes, absolutely. And I would say that like some of these things that we’ve talked about today that are small acts are likely some of the easily accessible and most important acts. And I know I’m a little bit biased, but these are the things that will create the foundation for all of the other things to go well.

Right. So, your book, the Human Cure, How Small Acts Can Change the World. Tell me a little bit about that book. And I’m assuming people can pick it up on Amazon or in any bookstore.

Yes, on Amazon or Barnes and Noble and the like. Yes. So, the book, like I said, is very much focused on small, basic things that people can do every day. And what I was able to do was pull together a career worth of lessons in the field of mental health, but also interview a number of people, researchers, very senior leaders, and get some of their takeaways and their lessons for things around empathy, compassion, peer support, even using storytelling as a way to, you know, bring healing within families and organizations. And then I pulled the thread on the latest research on this. So really looking at the science around this and how it connects to improved health outcomes, improved team outcomes, sort of larger. The book goes from micro to macro and sort of everything in between. So, it’s been two years in the making. I’ve, you know, it’s been a fun journey and at the same time grueling. And I’m just super excited to get it out there, get some feedback from people on it and really make sure people know that it’s everyday small things in our power that can make the biggest difference.

Excellent. Well, Keita, thank you so much for joining the show again. Really appreciate your story and definitely will be picking up a copy of your book.

Oh, thank you so much. I appreciate it as well. And all the work that you’re doing to raise awareness on safety issues. I love watching your work unfold as well.

Excellent. Thank you.

Thank you for listening to The Safety Guru on C-suite Radio. Leave a legacy. Distinguish yourself from the past. Grow your success. Capture the hearts and minds of your teams. Elevate your safety. Like every successful athlete, top leaders continuously invest in their safety leadership with an expert coach to boost safety performance. Begin your journey at execsafetycoach.com. Come back in two weeks for the next episode with your host, Eric Michrowski. This podcast is powered by Propulo Consulting.

ABOUT THE GUEST

Dr. Keita Franklin is a nationally recognized public health leader and senior executive with more than 25 years of experience advancing large-scale systems change across federal and healthcare sectors. Her work has focused on suicide prevention, behavioral health, substance use, and the integration of public health approaches within complex organizations.

Dr. Franklin spent the majority of her career in senior executive roles within the Department of Defense (DoD) and the Department of Veterans Affairs (VA), where she served as the principal advisor on suicide prevention and behavioral health policy. In these roles, she led multidisciplinary teams responsible for advancing evidence-based prevention strategies impacting more than three million active-duty service members, 20 million veterans, and their families. She is widely credited with helping shift the VA’s suicide prevention efforts from a primarily medical model toward a comprehensive public health approach that emphasized prevention, community engagement, and upstream risk reduction.

A recognized expert in suicide prevention and public health leadership, Dr. Franklin serves as Co-Director of the Columbia Lighthouse Project, where she leads national and international efforts to support the implementation and dissemination of evidence-based suicide risk screening protocols across healthcare, community, and organizational settings.

After transitioning to the private sector, Dr. Franklin has held senior leadership roles across the healthcare industry. She currently serves as Vice President of Health Care Strategy at TriWest Healthcare Alliance, where she leads strategic initiatives to advance whole-person care, behavioral health integration, and innovative solutions that improve outcomes for veterans, service members, and communities nationwide.

Dr. Franklin holds a PhD in Social Work from Virginia Commonwealth University and an advanced certificate from the Center for the Advancement of Research Methods and Analysis. She has completed executive education programs at Harvard Kennedy School in Leading Large-Scale Organizational Change and Women in Leadership, as well as the University of North Carolina–Chapel Hill Kenan-Flagler Business School Executive Leadership program. She is currently completing a Certificate in Executive Global Public Health Leadership at Harvard University, expected in March 2026.

An author and scholar, Dr. Franklin has published in the Journal of Alcohol Studies and the Journal of Social Work and Social Welfare Policy, with recent work examining Operation Resilience and public health approaches to suicide prevention. She has also contributed chapters to the Handbook of Military Social Work and Social Work Around the Globe. Her forthcoming books, The Humanity Cure: How Small Acts Can Change the World and A Field Practitioner’s Guide to Public Health Approaches for Suicide Prevention, will be released in 2026.

For more information: https://thehumanitycure.org/

The Humanity Cure: How Small Acts Can Change the World

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Supporting the Mental Health of Your Workforce with Dr. Keita Franklin

The Safety Guru_Dr. Keita Franklin Supporting the Mental Health of Your Workforce

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Mental health is a safety issue, yet its importance in the workplace is often minimized. Dr. Keita Franklin is a leading expert in workplace mental health and suicide prevention. This week, she discusses the mental health challenges faced by workers everywhere, relating it to her experience working with active duty armed forces. Take a listen to learn about useful practices that people at all levels of an organization, from the CEO to front-line supervisors and workers, can use to shift organizational culture and lessen the stigma surrounding seeking help.

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Real leaders leave a legacy. They capture the hearts and minds of their teams; their origin story puts the safety and well-being of their people first. Great companies ubiquitously have safe, yet productive operations. For those companies, safety is an investment, not a cost for the C-Suite. It’s a real topic of daily focus. This is The Safety Guru with your host Eric Michrowski, a globally recognized Ops and The Safety Guru public speaker and author. Are you ready to leave a safety legacy? Your legacy success story begins now.

Hi and welcome to The Safety Guru for today. I’m very excited to have with me Dr. Keita Franklin, as he is a subject matter expert in workplace wellness and suicide prevention, also the chief clinical officer for Government Services. Welcome to the show.

Thank you so much.

So, I’d love to start out maybe if you could share a little bit more about your background and your passion for the work that you do around workplace wellness and also suicide prevention.

Sure, again, thank you so much for having me. I am a clinical social worker by training, and I spent a good part of my career working with active-duty military and veterans in the area of mental health and suicide prevention, particularly during the, you know, the entire ramp up for the war effort. So, it provided a great learning opportunity for things related to wellness and resilience and just really focusing on trauma and suicide prevention. And so, let’s talk a bit about how you can keep people well in the workplace. So, if you could shift to ideas, some insights into work in this space.

Yes. You know, for years, I think that we focus on mental health as a sort of we in the field as sort of a hospital-based issue. And the idea was that when people were struggling with mental health, they know, they go into a hospital setting and they get care or they get cured or something like that. And really, you know, fast-Forward, many decades, what we’ve learned is that mental health is really the same as physical health. And we have to focus on prevention. And one of the ways that you get after prevention is really outside of the hospital system. In many ways. You focus with people were what I like to say, where they work, live and thrive, really, you know, focusing on the workplaces is, I think, an intuitive place to begin because people spend so many hours in a week actually engaged at work. So, it provides a perfect forum for recognizing signs of distress and others and really providing a nice opportunity for people to get help or for people to support each other through difficult times.

So, what are some of the tactics that workplace that a more progressive workplace wants to address well-being and a broader sense, what are some of the tactics that they can leverage to make a difference?

It’s definitely a multiple, multilayered issue. And there are things that like leaders at the very top Hindoo, like CEOs, can sort of set the culture for it being OK if you’re not OK and that this is a place to support each other. They can issue policies. We can have organizations that will even have like a mental health day, CEOs that push out their own workplace balance or that let people know, look, I’m taking a day off.

It’s OK for you to take a day off. It’s OK for you to focus on your career, focusing on yourself matters. And then, you know, there are a series of things that front line supervisors can do. Definitely in the field. We advocate that front line supervisors get training and recognize signs of distress, that they know how to engage. If an employee is struggling, they know what it looks like and then they know how to help people get actual care if needed, know. And then there are also things that we recognize individuals do for their own well-being. Individuals, equally so, should know their limits, should try to continue to challenge themselves and be engaged in meaningful work, but at the same time, not overdo it, not take on more than they can handle and recognize their own limits as well.

So, I think that’s a very helpful, helpful tips as well in terms of setting the record for different culture. We’ve all read and I’m aware that covid-19 had a very sizable impact in terms of mental health and wellbeing from many different facets for both people that continue working in person and those who move to working remotely. What are some of the lessons that we can learn from what happened, some of the learnings that can help us create better workplaces as people start returning back to workplaces and to something that seems more normal?

It’s such a good question, right? Because after 12 months or more, really, I guess of covid where the workplace drastically changed. We did. We absolutely did. We learned a lot. And, you know, one of the things in the field in mental health that we saw was just great increases to call centers. So, we had, for example, people we had objects and people calling out to for help from the distress line. We had people calling in, increased people calling in for domestic violence hotlines. And so, we know that, you know, covid-19 definitely impacted people’s mental health. I mean, we also saw during Kofod, you know, just great periods, especially early on, of isolation, of loneliness, which is, you know, on the surface might not seem like a big thing on your home. You’re alone. Maybe you feel a little lonely. But, you know, across the board, one of the things we in the literature is just how detrimental loneliness and isolation can be to people.

There’s just there’s this one study, that loneliness being the same, having the same consequences to your health as. Smoking 15 cigarettes a day, and so now people getting back into the workforce. I mean, I just say that we’ve got to focus on peer support, like people helping people. And one of the biggest sorts of we call it protective factors are buffers to mental health is social support. And just the impact of having someone else you can lean on and someone that can recognize if you’re struggling and can help you get into care is critically important.

And the other thing I would tell you is that, you know, when you look at the just the prevalence rates of people, they were impacted by covid either individuals themselves that struggled with their own health care or people that took care of others like parents and grandparents and struggled with it kind of one step removed, so to speak. They’re still greatly impacted. And so, you know, now that these people are returning to work, we really were getting a group of people back in the workplace that have been through quite a bit of grief and in some cases lost.

I’m not recommending that workplace sort of turns into this many clinical mental health environments for say. But I am saying that we should focus on employee wellness with an extra level of energy post covid for sure.

All right. It sounds like a very timely message that a lot of workplaces think about how they come back to more normal work environment. But we can’t forget what happened over the last 12 months. So, I think your message here is incredibly important. What are some of the things beyond kind of what you’ve talked about from a peer support, social support? What are some of the things that leadership really put into reopening plans to make sure that the right support comes in and people acknowledge what’s happened?

I mean, I definitely think it will be like a new normal for people coming back, like it won’t go back to the way that it was before covid. But one of the things that I think leaders should keep in mind is just classic work that has been done in the field of workplace wellness. I think even long before covid. And it was just this idea of getting people involved in meaningful work and really focusing them on the mission. It can be an incredible boost or an incredible protective factor.

You know, there are all these studies in the field to talk about how people are willing to accept a pay cut or people are willing to, particularly millennials. People are willing to pay is not the driving factor. When you’re talking about employee satisfaction and workplace wellness, it’s really this idea of people finding meaning in their careers and feeling a part of a mission. And sometimes that mission can be bigger than themselves, like this idea that they know where they fit in and the mission and they feel like they belong.

You know, they we call it in the field like belongingness. It’s a big protective factor, like I belong in this group. I belong on this team. I know my role on this team. And when I do, my role is critically important for the mission of this organization. And I know that it results in this great thing is that carries the most meaning of anything at all when it comes to employee engagement and the workplace.

Well, I love that message and it’s not an incredibly hard thing to do, but it does require a lot of effort because even pre covid it was known this element of really getting people connected to meaningful work. And it wasn’t always consistently happening. But definitely, as this happens, people come back to the workplaces. I think it’s definitely something to consider as we transition to another topic you talked a lot about is suicide prevention in the workplace, and particularly when we think from it, from a safety context, it’s not a topic that’s getting a lot of as much attention as it should.

What are some of the elements that people should consider to have the right impact around reducing the risk of suicide and enabling their teams and their culture to have the right effect?

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You’re right. It’s such a good question too, because we should talk about it more. I mean, suicide is the leading cause of death in the nation. And so, it’s actually the second leading cause of death for people ages 18 to twenty-four. So, companies and organizations that have large numbers of young people, eighteen to twenty-four. And this is definitely a serious issue. And not only sort of the prevalence and how it sort of ranks and factions in terms of how it impacts our mortality as a nation.

I also offer that, you know, when one suicide happens in a unit or in a workplace or something, the literature which tells it one hundred and thirty-five people are exposed. And that’s not only like mothers and brothers and sisters, but colleagues and coworkers and it can really impact the workplace just as any other safety issue. You know, I, at one point, did quite a bit of work with the Marine Corps in the area of behavioral health. And as you can well imagine, there was a focus on all things related to safety, particularly military mishaps and airplane mishaps and things like that, and how that these safety issues would impact a military unit. And, you know, suicide was right in the mix. Not this idea of preventing suicides. And part of what makes it so complicated for companies is, is that there’s really not one reason. So, it’s not like somebody doesn’t die by suicide because they’re depressed alone or because they’ve felt shunned or they’re having some sort of individual struggle.

It’s very complex. I mean, we say in the field that people who die by suicide are often struggling with twenty to twenty-five different factors all at once the different risks. And they don’t have buffers against those risks. And so that’s part of the equation. And then also, in some cases, there is this element of impulsivity that can happen with suicide where someone is struggling and they just make this impulsive decision to end their life. And so, the workplace, again, 20 people spend 40 hours a week, sometimes more around one another who might be able to record.

For example, if someone were struggling with a relationship issue, if they were struggling with financial issues, legal struggles as a big I think a big risk factor as well, if people were struggling with substance abuse and mental health issues. And so, I think within the context of all of those struggles, if we were to create a workplace where people were actually encouraged to help each other and there was a message from the top again that says it’s OK if you’re not OK, you’re still on this team, you’re still valued.

I still want to want you in our group. And we’re going to be here for you and help you with these ups and downs of life in this thing. I think where companies struggle sometimes is they’ll think that this is like a one and done kind of environment, like, OK, I’ve trained everybody. We had a training on mental health and in training alone won’t solve it. It’s part of a bigger big has to be part of a bigger comprehensive plan where training is but one element with many other elements sort of bundled together like, you know, an awareness campaign coupled with improving access to care, improving access to mental health care, equally so, making sure that people that is OK, people don’t feel shunned if they take a day off or if they have to go to their therapy once a week or something like that.

So, it’s really a bundled set of practices that together will help us keep people well and not at risk for suicide.

That’s a very important theme. If I was talking to certain professions as well that are more that have a greater risk and often professions where there isn’t as much invested in a lot of organizations around the right conversations.

No, I appreciate you for bringing that up, because definitely we should talk about first responders, police officers, law enforcement people that are on the front lines of covid, I think are at increased risk after having, you know, over a year of being exposed to trauma literally. We in the field are particularly concerned right now about the health care profession. And what does it mean for nurses, for example, who have been experiencing quite a bit of grief and loss?

I think about this my own self. I have a daughter who has just finished her first year in the nursing profession and she’s been providing care in an ICU for her first year in the profession and just sort of making sure that all of these new young nurses who have not really been exposed to the level of death that you might think somebody might be exposed to in the course of their whole career have been exposed to it. And just in just one year, because you’re also in a profession where most people choose to join it, to help others to make a difference in other people’s lives.

So, they’re not expecting to have huge amounts of in a short period of time in many cases. I had a guest who was on the show earlier. I was talking about even how many of these issues were had had enough but didn’t have enough resourcing. So, all things that were contributing to added stress, fatigue, added pressures.

Yes, absolutely, I mean, I don’t they come into the field to help, and then when they feel helpless, that can definitely add an additional layer of stress and then couple that with no time during the workday to really debrief or to check in with colleagues and be part of a broader support system because they’re just meeting that demand that’s in front of them on a 24/7 kind of environment. It can be a recipe for, you know, distress if we’re not careful making sure we put in the right protective factors and the right support around them as a safety net so that we keep them well.

And I think that is a very important point. So, we’ve talked about some of the elements that are needed from a workplace standpoint. It requires a lot more than an AP program and a comprehensive view of it. What are some of the things that a leader can do if they see some concerning signs with somebody that’s perhaps a loved one, somebody who’s close to them or a colleague in the workplace?

This is also such a good question, because I think sometimes people think that it’s very complex and that they’re just not sure what to say if they see somebody struggling. And I just offer that is that it’s not that it’s often just a very basic conversation. And I think when people are struggling, what they want most is for someone to reach out to them and say hello. And they want someone to be there for them and they want someone to say, you know, how are you?

And I often will talk with frontline supervisors about just sharing what they see and then sharing how they feel about what they see. And so, this idea of, you know, in a careful way, certainly having good relationships with people ahead of time helps. But just like, you know, I see that you may you know, that you seem run down or I see that you’re tired or you know, I see some small things in you and I want to check in.

Are you OK? And I want you to know that I’m ready for you and that it’s OK if you want to talk about it and it’s OK if you don’t. But I do worry about you and I want you to know that you’re an important part of this team and we want to make sure you’re well. So just like break the ice and have that initial conversation, you will be surprised with what people share when you ask them how they’re doing.

And you really mean the question. And like, right away, I mean, what we don’t want to happen is for people to just say, oh, I’m fine, thanks. We really want people to start to unpack and to know that it is a safe place and that you as a supervisor or a leader are approachable and that your organization is a good place to share what’s going on and to get help. Like you won’t be in trouble. You wouldn’t be there’s no punitive action if you’re not well from a mental health base like you would, there would be no punitive action if you broke your wrist on the job site.

We would help you and we would want you back. And there’s no punitive person. And equally so if you’re struggling with depression or anxiety or panic or anything like that, and this is what you’re proposing is very simple to do, is somebody to there, but just really create a forum where people can open up, which is such an important topic. Thank you. Thank you very much for all the work that you’re doing in terms of bringing awareness around workplace wellness, but also in suicide prevention.

What are some of the resources that a leader that’s looking to make a difference? The record particularly is returning from Bouvard and you can invest in creating the right environment, the right culture for the mental health and wellbeing standpoint. What are some of the resources that that are available that they should consult?

I mean, I definitely think people should have make sure that everybody in their workplace has access to the lifeline. And we can push that number out through your podcast. And this is really like it’s a crisis support lifeline for the nation. And so, it’s a one-stop shop where folks can dial in and they get right dispatched to their local area and they then have a host of resources. But it is a crisis line and I offer that we should not wait until people are in extreme and dire crisis before we reach out and get help.

And I know you mentioned a plan. Most companies have access to any capability, and that’s another resource. But again, it’s never just one single resource that house we should have. I’ve seen organizations that will have, like every small unit, every small workgroup or whatever, could have a mental health ambassador or somebody that’s trained in the skills of recognizing people in distress and that are sort of the conduit to making sure that they get the help they need equally.

So, organizations that have mentorship programs where they match people to not only help with the workplace but also how to balance all of the demands of work in the context of the broader life. So, these are just a few of the examples that I think we could people could stay tuned to in order to try to help improve workplace wellness overall.

Excellent. So, I really appreciate you. Taking the time to you, come on the show, share a little bit of some of your insights around workplace wellness and suicide prevention, but broadly speaking, really the effort that you’re putting awareness around such important topics.

Terrific. Thank you so much. And I appreciate you talking about this, particularly in the context of safety, because it is a safety issue. So, thank you for your leadership on this issue as well.

Excellent. Thank you so much. Have a wonderful day!

Thank you for listening to The Safety Guru on C-Suite radio. Leave a legacy, distinguish yourself from the pack, grow your success, capture the hearts and minds of your team’s. Fuel your future. Come back in two weeks for the next episode or listen to our sister show with the Ops guru Eric Michrowski.

ABOUT THE GUEST

Dr. Keita Franklin serves as the Chief Clinical Officer at Loyal Source Government Services. In this capacity, she leads the company’s Behavior Health line of practice. An experienced senior executive with a proven record of success, Dr. Franklin joined the Loyal Source team in May of 2020 to formalize work in the mental health, suicide prevention and substance abuse areas. Expanding Loyal Source’s already impressive service portfolio, she is responsible for designing, implementing, and overseeing contract mental health programs focused on prevention and treatment services for at-risk individuals. A compassionate leader and agent for change, Dr. Franklin is keenly focused on improving access to care and ensuring the delivery of evidence-based services across the Nation. A nationally renowned suicide prevention expert, Dr. Franklin also serves as the Co-Director of the Columbia Lighthouse Project, a Columbia University NY State Psychiatric Institute initiative focused on reducing suicide risk.

Prior to joining Loyal Source, Dr. Franklin worked extensively with military and Veteran populations serving in several senior positions within Headquarters, United States Marine Corps, the Office of the Secretary of Defense, and the Department of Veterans Affairs. In her role as Senior Executive Director, Office of Mental Health and Suicide Prevention, Department of Veteran Affairs, she led a U.S.-wide team of subject matter experts in the development and execution of a national public health program targeted toward advancing care for 20 million Veterans. Dr. Franklin is widely credited with implementing an innovative public health approach to suicide prevention in both the Department of Defense and the Department of Veteran Affairs. A fierce advocate for effective mental health programs for Veterans, military service members, and their families, she has testified often before both the U.S. House of Representatives and U.S. Senate on matters related to Health Care, including mental health, substance abuse, and suicide prevention.

Dr. Franklin earned her Master of Social Work degree from the University of Maryland and her PhD in Social Work from Virginia Commonwealth University. She also has received executive leadership training at Harvard University School of Business and UNC Kenan-Flagler Business School. Currently residing just outside of Washington D.C., Dr. Franklin spends her time outside of work enjoying the outdoors, reading, and writing.

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