Hillsdale County Mental Health Millage
Local Support. Expanded Access. Stronger Community Care.
In 2018, Hillsdale County voters approved a mental health millage to strengthen access to care and expand local services. This Millage was designed to address gaps in services and focused on supporting residents who might otherwise go without services.
What the Millage Covers
The Hillsdale County Mental Health Millage was established to expand access to mental health services—particularly for individuals who face barriers to care.
From the beginning, funding has been directed toward:
Individuals who are uninsured or underinsured
Services not fully covered through Medicaid or other funding sources
Community-based programs that strengthen the local system of care
These funds work alongside other funding sources to ensure that support is available where it is needed most.
How Millage Funds Are Allocated
Uninsured + Underinsured Services, $284,900
Jail Mental Health Services, $105,000
Hospital Support, $120,000
Community Programs + Transportation, $60,000
Where Millage Funds Go
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Funding supports access to:
Individual therapy and counseling
Case management
Psychiatric services
Certified peer support
Medication support
Crisis residential services
Drop-in and recovery-based services
These services help ensure individuals can receive care even when traditional coverage is not available.
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Funding supports:
A full-time mental health clinician
Tele-psychiatry services
Assistance with psychiatric medications
These services improve care, reduce crisis situations, and support better outcomes for individuals involved in the justice system.
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Funding provides:
Care coordination within the hospital
Support for individuals experiencing mental health crises in the emergency department
This helps reduce strain on emergency services and improves access to appropriate placement and care.
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Funding supports programs that promote connection, independence, and quality of life, including:
Skill-building and enrichment programs
Transportation access (including accessible vehicles)
Social and recovery-oriented supports
These services play an important role in long-term stability and wellness.
How Mental Health Services Are Funded
To understand how the millage supports services, it’s helpful to see how mental health care is funded overall and how each funding source works together to expand access to care.
Private Insurance
Covers services based on an individual’s specific health plan and benefits.
Medicaid
Provides coverage for individuals who meet eligibility requirements and is a primary funding source for many behavioral health services.
As a Certified Community Behavioral Health Clinic, LifeWays receives enhanced federal funding to expand access to comprehensive mental health and substance use services.
This model supports:
A broader range of services
Increased access to care
Consistent quality and care standards
CCBHC funding helps strengthen the overall system of care, allowing more individuals to receive timely and appropriate services.
CCBHC Funding
Provides local funding to support access to care for individuals who:
Do not qualify for Medicaid, and
Do not have sufficient coverage to access needed services
This structure allows millage funds to be used where they have the greatest impact—helping ensure access for those who might otherwise go without care.
Millage Dollars
Millage in Action
Hillsdale County Millage Support Expands Access and Enrichment at SPARC
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SPARC (St. Paul’s Ability Resource Center) is a community enrichment program in Hillsdale County that offers structured, choice-based programming for adults with intellectual and developmental disabilities (IDD).With support from LifeWays through local mental health millage funding, SPARC is able to provide consistent, high-quality services that promote independence, social connection, and emotional well-being. Each week, more than 60 individuals take part in programs ranging from art, cooking, and photography to book club, gardening, exercise, and life skills classes.
Participation grew significantly following the addition of the SPARC van in 2019—an essential resource made possible through millage dollars. In a rural county where transportation is a major barrier, the van has opened up access to residents across the region. “The year we got the van, our services increased exponentially,” said SPARC Director Tamra Ryan. “Transportation was the barrier—and we broke through it.”
In addition to transportation, millage funding helps cover core operational needs such as staffing, utilities, and internet, ensuring SPARC’s stability and allowing staff to focus on evolving their services. A recent innovation is the launch of a daytime respite program, offering structured, supervised care for adults who benefit from shorter visits. This flexible model provides both enrichment and caregiver relief while maintaining a welcoming group atmosphere.
SPARC is also actively working to respond to emerging needs in the community. With guidance and potential training support from LifeWays, the team is exploring new program areas including grief support, internet safety, and digital social skills. “We adapt constantly,” Ryan said. “If there’s a need, we try to meet it.” Staff are trained educators who incorporate speech and occupational therapy techniques into their programming, while also supporting participants through major life transitions and emotional challenges.
The culture at SPARC is intentionally inclusive and empowering. New participants are gradually introduced into the environment, with staff encouraging independence at every step—sometimes even celebrating “parent graduations” when family members no longer need to accompany their loved one. This sense of ownership and self-confidence helps participants not only engage in activities, but begin to lead them. Many contribute to newsletters, help with event planning, or take on ambassador-like roles in the community.
Participants at SPARC regularly take on leadership roles and find new confidence through creative expression, peer interaction, and skill development. Some contribute to newsletters, help lead classes, or speak publicly about their experiences—like a recent visit to the Hillsdale County Board of Commissioners. Events like game nights and photography field trips offer additional opportunities for social connection, with some participants calling their time at SPARC the highlight of their week. The program’s impact reaches far beyond individual participants; it also supports caregivers, strengthens community inclusion, and creates a space where people of all abilities can thrive. These outcomes are possible because of the ongoing support from LifeWays and the community's investment in mental health through the millage.
How Access To Services Works
Getting care is a step-by-step process that uses different funding sources to make services accessible.
Ongoing Impact
Since its approval, the Hillsdale County Mental Health Millage has expanded access to care and strengthened services across the community.
Funding continues to support:
Direct care for individuals without adequate coverage
Crisis response and stabilization
Partnerships with local systems, including the jail and hospital
Community-based programs that promote long-term wellness
These investments reflect the community’s commitment to making mental health care more accessible and responsive.
Transparency
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FY 2021 Report (Coming Soon!)
FY 2023 Report (Coming Soon!)
FY 2025 Report (Coming Soon!)

