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Michigan healthcare freedom community forum
Sen. Aric Nesbitt is running for Governor and in a recent campaign stop with his law enforcement supporters (mostly rural), called for more psychiatric hospital beds to meet Michigan's current needs. The MDHHS State Hospital Administration now operates four psychiatric hospitals with 497 beds, and another net 54 beds are under construction:
Aric Nesbitt includes more state psychiatric hospitals in anti-crime agenda
By Simon D. Schuster - March 9, 2026
- GOP gubernatorial candidate Aric Nesbitt says Michigan needs more state psychiatric hospitals
- Sheriffs and prosecutors backing Nesbitt say jails have become de facto housing for mentally ill because of bed shortage
- Michigan has fewer than 500 state psychiatric beds, a tenth of what advocates claim is needed
GRAND RAPIDS — Republican gubernatorial candidate Aric Nesbitt would push for Michigan to build more psychiatric hospitals as part of his anti-crime agenda, arguing local jails and law enforcement don’t have the resources to grapple with mentally ill Michiganders with nowhere else to go.
Nesbitt’s proposal was part of a larger pitch for a pro-law enforcement agenda that Nesbitt said would cut down on crime.
“Over the last 40 years, you’ve seen this deinstitutionalization that has increased crime, increased homelessness, and made things more difficult” for law enforcement, Nesbitt said at the roundtable.
FBI data shows violent crimes in Michigan have largely trended downward in recent years. Homelessness decreased 6% in the state in 2024 after two years of increased homelessness, according to state data. Violent crimes declined 11% from 2020 through 2024, according to state crime reporting data, while property crimes have remained largely flat.
Michigan has 497 state psychiatric hospital beds as of 2023, according to the nonprofit Treatment Advocacy Center. That equates to about five psychiatric beds per 100,000 residents — roughly one-tenth of what the center argues is needed for adequate care.
Nesbitt, the current Senate minority leader, has received the endorsement of a number of county sheriffs who were on hand to offer support for his agenda rollout. They emphasized the need for more mental health facilities in the state, and said their county jails are bearing the burden of the state with few resources for residents with untreated mental illness.
“It’s important, if it’s 2 in the morning and someone is having a crisis, to take them somewhere where they can get help,” Allegan County Sheriff Frank Baker said. “Our only alternative is to take them to jail, and we all know that’s not the best place for them.”
After a brief evaluation by the state, Berrien County Sheriff Chuck Heit added, “they’re found to not be competent, they need treatment, but they’re sent back to our jail for six months while there’s not a bed. So that has been a huge issue for us, and for sheriffs across the state … It’s a funding issue.”
Nesbitt offered few details behind his proposal, including basic questions like how many additional psychiatric beds he’d like to build, how many hospitals or how the new facilities would be paid for. Nesbitt claimed rooting out “waste, fraud and abuse” in state government could free up funds, but said at the roundtable “you have to have that investment, otherwise it gets even more expensive.”
“It’s not going to be cheap, but we can’t ignore it,” Heit said.
While other gubernatorial candidates have advocated for expanding access to mental health resources, Nesbitt is the first candidate to call for creating more long-term institutions for individuals who can’t safely be part of the state’s adult foster care system, but haven’t committed crimes deserving of a long prison sentence.
Nesbitt’s proposal coincides with a recent executive order from President Donald Trump aimed at getting what Trump called “drugged-out maniacs and homeless people” off the streets, largely through increased involuntary institutionalization — something that couldn’t happen in Michigan without more capacity. Anti-homelessness and addiction advocates have criticized Trump’s order.
Cass County Prosecutor Vic Fitz argued one to three months of psychiatric treatment in a state facility could be enough to help “stabilize” mentally ill patients for years, but current capacity means they receive treatment “for maybe two to five days and that’s not enough time to stabilize them.
“So now they’re living in the jails, they’re living under bridges,” Fitz said.
State lawmakers have put millions toward existing psychiatric capacity in recent years, building a new hospital to replace a century-old facility in Tuscola County’s Caro, and another new facility in Plymouth called the Southeast Michigan Psychiatric Hospital will replace two aging institutions. But that modern $325-million facility will only add 54 more beds to the state’s capacity in total.
Nesbitt said afterward he saw the need for the policy after touring numerous jails throughout the state.
Other aspects of Nesbitt’s plan include banning cashless bail for violent felonies and prohibiting sanctuary cities, mandating a 15-year sentence for anyone attempting to disarm a police officer and firing the leader of the Michigan State Police.
Nesbitt also wants to instigate what he calls “Operation Tuebor” — after the state’s motto — saying he would “launch the largest ICE operation in Michigan history,” but that proposal saw little attention at the event.
Other Republican candidates, such as former state House Speaker Tom Leonard, have offered similar proposals on issues like gun rights. Leonard, like Nesbitt and other Republican candidates, is calling to repeal Michigan’s “red flag” and safe storage gun laws. A recent report from the State Court Administrative Office found 407 Extreme Risk Protection Order requests were granted in 2025 under the “red flag” law.
Nesbitt and his law enforcement supporters depicted Michigan as a state where crime has been allowed to run unchecked under Gov. Gretchen Whitmer, pointing to high crime rates in some cities, the opioid crisis and a handful of instances in which undocumented immigrants have been charged with serious crimes.
Spending on defense lawyers for poor Michiganders is too high, Nesbitt argued, and he would like to see the system changed to level the playing field against criminal prosecutors. Instead of paying private attorneys to take on indigent cases, Nesbitt would want to establish a state public defender’s office and turn them into government employees.
Fitz said assistant prosecutors in his office make between $30 and $50 an hour, funded by the county, while hired public defenders can make $150 an hour, funded by the state, for felony cases.
“You got to equalize that funding,” Fitz said. “If you don’t, we’re going to have continuing problems with public safety.”
A Michigan Department of Health and Human Services (MDHHS) press release this week memorializes Director Elizabeth Hertel and State Budget Director Jen Flood touring the new Southeast Michigan Psychiatric Hospital which will probably begin accepting patients in the Fall. The new hospital is being built on the Northville site of the former Hawthorn Center, which was demolished in 2023. This $ 325 million facility will replace both the former Hawthorn Center and the current Walter Reuther Psychiatric Hospital in Westland.
This press release says that "The State of Michigan currently operates four inpatient hospitals that serve nearly 600 patients." Previous press releases state "The State of Michigan operates five inpatient hospitals that serve nearly 650 patients," presumably including the former Hawthorn Center. Yet other sources say that MDHHS has 497 state psychiatric hospital beds.
https://www.michigan.gov/mdhhs/inside-mdhhs/newsroom/2026/03/17/semph-release
MDHHS Director Hertel and State Budget Director Flood tour new state psychiatric hospital, discuss importance of continued investments in behavioral health for Michigan families
By Lynn Sutfin - March 17, 2026Southeast Michigan Psychiatric Hospital slated to open this fall to expand care for adults and youth, increase patient capacity by 54 beds
LANSING, Mich. – Yesterday, Michigan Department of Health and Human Services Director Elizabeth Hertel and State Budget Director Jen Flood toured the soon to be completed Southeast Michigan Psychiatric Hospital, a key component of the state’s commitment to expanding behavioral health care services for Michigan families. During the tour, they discussed the importance of the state’s continued investments in behavioral health care to ensure Michigan residents can access the care they need.
Slated to begin accepting patients this fall, the new hospital will feature 264 beds for adults and youth, increasing the state’s capacity by 54 beds. The facility is being made possible due to $383.4 million in budget investments by Gov. Gretchen Whitmer and the legislature.
“We are excited to be able to provide a new state-of-the-art hospital in southeastern Michigan for Michigan families in need of inpatient, behavioral health care ,” said Elizabeth Hertel, MDHHS director. “The increased capacity of this modern facility expands access to quality, compassionate care for more children and adults. It is part of our continued efforts to ensure access to behavioral health care for Michigan families when they need it, where they need it and at the level of care they need.”
Governor Whitmer’s recently released FY 2027 budget proposal includes $80.1 million to begin operating the new hospital and to hire and train additional staff needed to care for the increased patient census.
“Building and opening the new state psychiatric hospital is all about serving Michiganders who need access to care,” said State Budget Director Jen Flood. “Expanding access to treatment and adding more beds is a priority, because too many families struggle to find the care that they and their loved ones need. By creating more space for people to get care when they need it, we’re strengthening our health system, supporting families, and building safer, healthier communities across Michigan.”
While the new psychiatric complex will serve all ages, the hospital features distinct facilities with separate living and programmatic spaces for children and adults. The more than 410,000-square-foot facility will feature amenities including a gymnasium, art rooms and sensory spaces to support holistic care. The complex will include shared administration and food service, which allows for budget savings.
The build is being overseen by the Michigan Department of Technology, Management & Budget (DTMB). The construction manager for the project is Christman Company, with design services provided by Integrated Design Solutions LLC.
“The DTMB team has been hard at work ensuring that this new facility meets the needs of patients, providers and the Northville community, and I’m so proud of the work we’ve done to keep the project on time,” said Kyle Guerrant, DTMB acting director. “It’s an honor to help bring to life a state-of-the-art, secure, and safe facility that will provide high-quality care to Michiganders.”
It will replace Hawthorn Center, which opened in 1965 and was demolished to make way for the new hospital, and Walter Reuther Psychiatric Hospital, which opened in 1979, and is slated to close after the new facility opens.
The State of Michigan currently operates four inpatient hospitals that serve nearly 600 patients. Caro Psychiatric Hospital and Kalamazoo Psychiatric Hospital serve adult patients and Walter Reuther Psychiatric Hospital serves both adults and youth in separate areas of the facility. The Center for Forensic Psychiatry provides diagnostic services to the criminal justice system and psychiatric treatment for criminal defendants adjudicated incompetent to stand trial or acquitted by not guilty by reason of insanity.
Michigan's state hospitals are accredited by the Joint Commission and are committed to providing evidence-supported, person-centered inpatient care to individuals in an environment that values compassion, collaboration and community reintegration.
Directors visit MDHHS Greydale office to discuss SNAP payment rate
Later that day, Hertel and Flood also met with employees from the MDHHS Greydale office in Redford to learn firsthand about the challenges created by the passage of H.R. 1 by Congress, which cut federal funding and shifted significant costs to the states.
They discussed MDHHS’s efforts to reduce Michigan’s Supplemental Nutrition Assistance Program (SNAP) payment error rate. The SNAP payment error rate measures the accuracy of each state’s eligibility and benefit determinations for participating households who receive food assistance.
“MDHHS has implemented several new internal processes to ensure the timeliness and accuracy of the information we need to receive from eligible SNAP beneficiaries,” said Hertel. “As that work continues over the coming months, it is important to me to hear directly from our staff doing this work at the local offices to clearly understand how we can continue to refine our processes and improve outcomes.”
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