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Community Mental Health presents service data and programs; warns of potential state procurement changes

Clare County Board of Commissioners · August 19, 2026

Summary

Representatives from Community Mental Health for Central Michigan reported serving more than 10,000 people across six counties last year, gave Clare County figures and program updates, highlighted jail- and school-based services, and noted a court decision that halted a state PIHP RFP and could prompt a revised procurement schedule.

Brian, a representative of Community Mental Health for Central Michigan, and Sarah Msali Swanson, the agency’s chief clinical officer, presented an annual update on services across six counties, including Clare. The authority reported it served just over 10,000 people last year across the region and typically serves about 5,000 people at any given time; Clare County received approximately $16.2 million of the authority’s $154 million budget, the presenters said.

Sarah Msali Swanson summarized key programs operating in Clare County: jail-based screening and the 'thinking matters' cognitive behavioral groups used in local jails, a nurturing parenting program to be launched in early September for inmates, and school-based mental-health teams assigned to Harrison and Farwell schools. “I’m Sarah Msali Swanson. I’m the chief clinical officer here at this county office,” she said and highlighted that school-based therapy served about 170 children with ongoing mental-health support last school year.

Brian reviewed legal and procurement context: the court of claims found the prior PIHP (prepaid inpatient health plan) RFP conflicted with Michigan’s mental health code; the state rescinded and later reissued a version of the RFP, and presenters expect a revised procurement to appear on the state procurement site, possibly delayed beyond an initial August target. The presenters said they will closely review any new solicitation to ensure it aligns with statutory obligations and local service continuity.

Why this matters: the authority funds a broad set of safety-net services (largely Medicaid-funded) and serves vulnerable residents in Clare County; changes to state procurement could reshape contracting and service delivery across multiple counties.

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