Update on Michigan’s Mental Health System
Positive Developments in Michigan’s Mental Health System
Good news for the moment: Earlier this year, Michigan halted its proposed overhaul of the state’s mental health system, withdrawing plans that would have significantly restructured how Medicaid-funded behavioral health services are managed.
After legal concerns were raised, the state canceled its call for proposals and paused the bid-out process. This decision helps1preserve stability for community-based mental health providers and the people they serve, while creating space for more thoughtful and collaborative conversations about system improvements.
For those who want to read more, here are two recent articles that outline what happened:
While broader reform discussions are expected to continue, this pause is a positive development for local oversight and continuity of care. We’ll keep monitoring state-level prevention and mental health policy updates and share new information as it becomes available.
New Drug is Driving a Dangerous Withdrawal Crisis
A powerful veterinary sedative most people have never heard of is rapidly reshaping the overdose crisis—and it’s not showing up the way we expect. According to a new report from The New York Times, medetomidine is increasingly appearing in the illicit fentanyl supply, triggering severe, life-threatening withdrawal rather than immediate overdose. Hospitals in Philadelphia are seeing a surge in emergency visits, many requiring intensive care, as people experience extreme symptoms from a drug they didn’t knowingly use. With medetomidine now detected beyond Philadelphia, this emerging trend raises urgent questions for prevention, treatment, and policy nationwide.
Read more to understand why this matters—and why systems need to adapt fast.
Source: Addiction Policy Forum
Message Matters
Substance Use Prevention Communications Toolkit
Effective prevention starts with how we communicate. Messages that are grounded in prevention science and thoughtfully framed are more likely to resonate with youth, families, and communities—and to support healthier norms around substance use.
The Substance Use Prevention Communications Toolkit, developed by the Prevention Technology Transfer Center (PTTC) Network, offers practical, evidence-informed guidance for communicating with youth ages 12–18. The toolkit includes strategies for message framing, language choices, and approaches for shifting community mindsets to support prevention.
As you plan outreach for SAMHSA Prevention Week, Prevention Month, and year-round prevention efforts, this toolkit can support stronger, more effective communications.
Explore the Toolkit:
Check out the Toolkit!
Source: Prevention Technology Transfer Center (PTTC) Network
Kratom in Michigan:
State Bill Introduced, Local Rules Emerging
Kratom remains legal statewide in Michigan — but legislative activity and local regulations are beginning to shift the landscape.
In February 2026, lawmakers introduced a bipartisan bill that would ban the growth and sale of kratom in Michigan. The proposal would make selling or growing kratom a misdemeanor, with enhanced penalties for sales to minors. The bill has been referred to the House Committee on Regulatory Reform.
At the local level, Clinton Township has adopted what appears to be Michigan’s first kratom ordinance. The policy restricts sales to individuals 21 and older, requires retail signage, and enforces violations through township police. The Cities of Warren and Southfield are also discussing similar measures.
Additionally, HB 4969 proposes a statewide consumer protection framework, which could reduce the development of inconsistent local ordinances.
Sources: https://www.wilx.com/2026/02/20/new-bill-would-ban-growth-sale-kratom-michigan/;
https://www.wxyz.com/news; MI HB4969; and Bridge Michigan/news
Prevention Data Spotlight: Youth Substance Use Remains Low
New data from the Monitoring the Future Study, led by the National Institute on Drug Abuse and the University of Michigan, show adolescent substance use remains near historic lows in 2025. High rates of abstinence among 8th, 10th, and 12th graders continue to reflect the long-term value of prevention, education, and community-driven strategies.