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

  • 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.

  • 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.

  • 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.

  • 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

  • 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