2024-04-032023/24:SoU11 · p.1SoUHealth & social services

The ANDTS strategy

Support for municipalities' and regions' implementation of the ANDTS strategy

What's at stake: Municipalities have been given expanded responsibilities in the ANDTS area, while the resources allocated for coordinating and planning preventive work have decreased over recent strategy periods. The decision therefore affects the support municipalities and regions receive to run effective prevention work against alcohol, drugs, doping, tobacco and gambling.

Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.

What the vote decides

The question is whether parliament should direct the government to task an authority with reviewing how to strengthen municipalities' and regions' capacity to implement the national ANDTS strategy, or whether the inquiry work on support for local and regional preventive efforts already under way is sufficient.

Yes Yes — the committee proposal

The committee rejects the motion. The reason is that the Public Health Agency has already been tasked with proposing how a long-term sustainable development, management and dissemination of knowledge-based working methods should be organised to support local and regional ANDTS-preventive work - an assignment that was reported in 2022 and is now being processed within the Government Offices. The committee therefore does not see a need for parliament to take further action.

No No — the reservations

Reservation 1 (C, MP)

The reservation (C, MP) calls for the government to task an appropriate authority with reviewing how best to strengthen municipalities' and regions' capacity to implement the ANDTS strategy. The reason is that municipal resources for coordinating and planning preventive work have decreased over the last two strategy periods, even as municipalities have been given expanded responsibilities in parts of the ANDTS area.

Summarised from the committee report. Party labels in the summary come from the report, not from the vote.

VSMPCLKDMSD
YesNoAbstainAbsent

What do the votes mean here?

Yes The committee proposal: rejecting the motions (keeping things as they are).

No Backing the counter-proposal: reservation 1 by C, MP.

Abstain The party marks a position of its own that is not one of the two final alternatives.

What each plan points to — and how the party voted

For each party: the vote its own election manifesto and party programme point to in this case, next to how the party actually voted. A plan can only point to Yes or No; a party can also abstain.

PlanVoteConfidenceEvidence
VNoYes 21/0/0/3departs from the planconfidence: mediumnot addressed
SNoYes 92/0/0/14departs from the planconfidence: mediumnot addressed
MPown reservationNoNo 0/14/0/4follows the planconfidence: mediumnot addressed
Cown reservationNoNo 0/21/0/3follows the planconfidence: mediumnot addressed
LNoYes 14/0/0/2departs from the planconfidence: mediumnot addressed
KDNoYes 15/0/0/4departs from the planconfidence: mediumnot addressed
MNoYes 60/0/0/8departs from the planconfidence: mediumnot addressed
SDNoYes 63/0/0/9departs from the planconfidence: mediumnot addressed

Committee proposal

The Riksdag rejects the motion 2023/24:2493 by Christofer Bergenblock et al. (C) proposal 47.

Original (Swedish)

Riksdagen avslår motion 2023/24:2493 av Christofer Bergenblock m.fl. (C) yrkande 47.

Riksdag decision: The Riksdag said no to approximately 100 proposals in motions on, among other things, alcohol, drugs, and tobacco from the general motion period 2023. The motions deal with, among other things, Swedish alcohol policy and the retail monopoly, as well as drug policy. The Riksdag refers, among other things, to ongoing work.

Counter-proposals

Plan vs actual vote

Every party, in chamber order: what its own plan pointed to, how it voted, and the reasoning behind both. Highlighted rows are where the two differ — but a vote that follows the plan is a result too, so the reasoning is there for every party.

VVänsterpartietNoYesdeparts from the plannot addressed

The election manifesto demands that school, leisure activities, and social services be given better resources and sees substance abuse as a social problem that must be met preventively.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto demands that school, leisure activities, and social services be given better resources and sees substance abuse as a social problem that must be met preventively. The counter-proposal wants precisely to strengthen municipalities and regions' prerequisites for preventive ANDTS work, which aligns with the plan's demand for resources to municipal welfare. The plan also demands equivalent prerequisites for all municipalities.

Original (Swedish)

Valplattformen kräver att skola, fritidsverksamhet och socialtjänst får bättre resurser och ser missbruk som ett samhällsproblem som måste mötas förebyggande. Motförslaget vill just stärka kommunernas och regionernas förutsättningar för det förebyggande ANDTS-arbetet, vilket ligger i linje med planens krav på resurser till den kommunala välfärden. Planen kräver också likvärdiga förutsättningar för alla kommuner.

  • resources for social servicesdecisive»Skola och fritidsverksamheter behöver ges bättre resurser, likaså socialtjänsten.« (2022 manifesto ↗)“School and leisure activities need to be given better resources, as does social services.”
  • substance abuse as social problem»Därför måste kriminaliteten ses just som ett samhällsproblem, inte något som händer på vissa platser.« (2022 manifesto ↗)“Therefore crime must be seen precisely as a social problem, not something that happens in certain places.”
  • equivalent municipal prerequisites»En generell välfärd betyder samtidigt att alla kommuner och landsting ska ha likvärdiga förutsättningar att erbjuda sina medborgare bra« (party programme ↗)“A general welfare at the same time means that all municipalities and regions shall have equivalent prerequisites to offer their citizens good”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

SSocialdemokraternaNoYesdeparts from the plannot addressed

The plan's clearest commitment on this area is that for every kronor to more police officers, at least one kronor shall be laid on preventive work, and that social services shall be strengthened to reach young people in time.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan's clearest commitment on this area is that for every kronor to more police officers, at least one kronor shall be laid on preventive work, and that social services shall be strengthened to reach young people in time. The counter-proposal wants the conditions for preventive work in municipalities and regions to be strengthened. The plan also wants to increase the state's contribution to municipalities and regions, which directly addresses the reduced local resources.

Original (Swedish)

Planens tydligaste åtagande på området är att för varje krona till fler poliser ska minst en krona läggas på det förebyggande arbetet, och att socialtjänsten ska stärkas för att fånga upp unga i tid. Motförslaget vill just att kommunernas och regionernas förutsättningar för förebyggande arbete stärks. Planen vill dessutom öka statens bidrag till kommuner och regioner, vilket direkt adresserar de minskade lokala resurserna.

  • half to preventive workdecisive»För varje krona som läggs på fler poliser, ska minst en krona läggas på det förebyggande arbetet.« (2022 manifesto ↗)“For every kronor laid on more police officers, at least one kronor shall be laid on preventive work.”
  • strengthened social services»Att socialtjänsten stärks är centralt för att fånga upp unga i tid.« (2022 manifesto ↗)“Strengthening social services is central to reaching young people in time.”
  • increased state grants to municipalities»Vi vill fortsätta öka statens bidrag till kommuner och regioner.« (2022 manifesto ↗)“We want to continue increasing the state's contribution to municipalities and regions.”
  • collaboration in preventive work»Det behövs mer samarbete mellan polis, elevhälsa, socialtjänst och skola.« (2022 manifesto ↗)“More cooperation is needed between police, student health, social services and schools.”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

MPMiljöpartietNoNofollows the plannot addressed

The party programme asserts that preventive work shall be prioritised and that substance abuse policy shall be based on the methods research has shown to be most effective.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The party programme asserts that preventive work shall be prioritised and that substance abuse policy shall be based on the methods research has shown to be most effective. The decentralist fundamental view means that municipalities and regions shall have real conditions for the work they are responsible for. Having a government agency review how municipalities' and regions' preventive work can be strengthened thus aligns with the plan.

Original (Swedish)

Partiprogrammet slår fast att förebyggande arbete ska premieras och att missbrukspolitiken ska bygga på de metoder forskningen visat vara mest effektiva. Den decentralistiska grundsynen innebär att kommuner och regioner ska ha reella förutsättningar för det arbete de ansvarar för. Att låta en myndighet se över hur kommuners och regioners förebyggande arbete kan stärkas ligger därför i linje med planen.

  • preventive work prioritiseddecisive»Förebyggande arbete ska premieras.« (party programme ↗)“Preventive work shall be prioritised.”
  • knowledge-based substance abuse policy»Missbrukspolitiken bör utgå från de metoder som forskningen visat vara mest effektiva för att« (party programme ↗)“Substance abuse policy should be based on the methods research has shown to be most effective for”
  • decentralised responsibility»Beslut bör tas så nära medborgarna som möjligt.« (party programme ↗)“Decisions should be made as close to citizens as possible.”
  • investment in preventive measures»storsatsa på det förebyggande arbetet i socioekonomiskt eftersatta områden.« (2022 manifesto ↗)“make large investments in preventive work in socioeconomically disadvantaged areas.”
CCenterpartietNoNofollows the plannot addressed

The plan builds welfare on a preventive approach and on decisions being made close to people.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan builds welfare on a preventive approach and on decisions being made close to people. Strengthening municipalities' and regions' conditions to conduct preventive work follows directly from both of these commitments. The plan also wants public service to be close and reliable throughout the country, which requires the local level to have resources for the task.

Original (Swedish)

Planen bygger välfärden på ett förebyggande förhållningssätt och på att besluten fattas nära människorna. Att stärka kommuners och regioners förutsättningar att bedriva förebyggande arbete följer direkt av båda dessa åtaganden. Planen vill dessutom att offentlig service ska vara nära och pålitlig i hela landet, vilket förutsätter att den lokala nivån har resurser för uppgiften.

  • prevention as the main linedecisive»En förutsättning för en hållbar välfärd är ett förebyggande förhållningssätt.« (party programme ↗)“A prerequisite for sustainable welfare is a preventive approach.”
  • decentralized decision-making»Decentralisera mera. Människor ska få bestämma mer själva, och politiska beslut ska fattas nära dem som berörs.« (2022 manifesto ↗)“Decentralize more. People should decide more for themselves, and political decisions should be made close to those affected.”
  • public service nearby»Offentlig service ska vara nära och pålitlig i hela landet.« (2022 manifesto ↗)“Public service should be close and reliable throughout the country.”
  • support in addiction»psykisk ohälsa eller missbruksproblem måste ha inflytande över sitt liv och få det stöd som behövs.« (party programme ↗)“Those affected by mental illness or addiction problems must have influence over their life and get the support they need.”
LLiberalernaNoYesdeparts from the plannot addressed

The plan wants Sweden's narcotics policy to be investigated in its entirety and that municipalities' preventive work be strengthened, among other things by legislating crime prevention work.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan wants Sweden's narcotics policy to be investigated in its entirety and that municipalities' preventive work be strengthened, among other things by legislating crime prevention work. Close cooperation between social services, healthcare and the justice system is highlighted as crucial for preventive work. A mandate to review how municipalities' and regions' conditions can be strengthened therefore aligns with the plan.

Original (Swedish)

Planen vill att den svenska narkotikapolitiken utreds i sin helhet och att kommunernas förebyggande arbete stärks, bland annat genom att lagstadga det brottsförebyggande arbetet. Nära samverkan mellan socialtjänst, hälso- och sjukvård och rättsväsende lyfts fram som avgörande för det förebyggande arbetet. Ett uppdrag att se över hur kommuners och regioners förutsättningar kan stärkas ligger därför i linje med planen.

  • investigate narcotics policy comprehensivelydecisive»att den svenska narkotikapolitiken utreds i sin helhet« (party programme ↗)“that Sweden's narcotics policy be investigated in its entirety”
  • legislated municipal prevention»Kommuners brottsförebyggande arbete ska lagstadgas.« (2022 manifesto ↗)“Municipalities' crime prevention work shall be legislated.”
  • cooperation in substance abuse work»En nära samverkan mellan socialtjänst, hälso- och sjukvård och rättsväsende är viktig« (party programme ↗)“Close cooperation between social services, healthcare and the justice system is important”
  • zero vision against drug damage»en nollvision mot drogrelaterat lidande och drogrelaterade dödsfall« (party programme ↗)“a zero vision against drug-related suffering and drug-related deaths”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

KDKristdemokraternaNoYesdeparts from the plannot addressed

The election manifesto wants to establish a national social action unit precisely so that preventive work is strengthened and becomes more equal across the country, which is the same thing the counter-proposal requires for municipalities' and regions' ANDTS prevention work.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto wants to establish a national social action unit precisely so that preventive work is strengthened and becomes more equal across the country, which is the same thing the counter-proposal requires for municipalities' and regions' ANDTS prevention work. The party programme requires that addiction care shall hold high quality and be available across the country and that alcohol damage shall be minimized. A review of the municipalities' conditions follows from these commitments.

Original (Swedish)

Valmanifestet vill inrätta en nationell social insatsstyrka just för att det förebyggande arbetet ska stärkas och bli mer lika i landet, vilket är samma sak som motförslaget efterfrågar för kommuners och regioners ANDTS-förebyggande arbete. Partiprogrammet kräver att missbruksvård ska hålla hög kvalitet och vara tillgänglig i hela landet och att alkoholskadorna ska minimeras. En översyn av kommunernas förutsättningar följer av dessa åtaganden.

  • equitable preventive workdecisive»Inrätta en nationell social insatsstyrka, så det förebyggande arbetet stärks och blir mer lika i landet.« (2022 manifesto ↗)“Establish a national social action unit, so that preventive work is strengthened and becomes more equal across the country.”
  • accessible addiction care everywhere»hög kvalitet och erbjudas och vara tillgänglig i hela landet.« (party programme ↗)“high quality and offered and be available across the country.”
  • minimized alcohol damage»Det alkoholpolitiska arbetet ska syfta till att minimera« (party programme ↗)“Alcohol policy work shall aim to minimize”
  • prevention through civil society»Förebygg brott genom att stärka föreningslivet samt inrättande av mentorskapsprogram och nationellt avhopparprogram.« (2022 manifesto ↗)“Prevent crime by strengthening civic life and establishing mentorship programmes and a national exit programme.”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

MModeraternaNoYesdeparts from the plannot addressed

The plan promises the largest crime prevention reform package in modern times with over 50 reforms to strengthen social services, schools and substance abuse care, which is supported by municipalities' and regions' capacity.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan promises the largest crime prevention reform package in modern times with over 50 reforms to strengthen social services, schools and substance abuse care, which is supported by municipalities' and regions' capacity. A mandate to review how municipalities' and regions' conditions for prevention work can be strengthened is in line with that commitment. The plan also wants to build national knowledge management for prevention.

Original (Swedish)

Planen lovar det största förebyggande reformpaketet i modern tid med över 50 reformer för att stärka socialtjänst, skola och missbruksvård, vilket bärs upp av kommunernas och regionernas förmåga. Ett uppdrag att se över hur kommuners och regioners förutsättningar för förebyggande arbete kan stärkas ligger i linje med det åtagandet. Planen vill också bygga upp nationell kunskapsstyrning på prevention.

  • strengthened preventive social servicesdecisive»Det handlar om över 50 reformer för att stärka socialtjänst, skola och missbruksvård.« (2022 manifesto ↗)“It involves over 50 reforms to strengthen social services, schools and substance abuse care.”
  • national knowledge management for prevention»Inrätta ett nationellt kunskapscentrum för brottsprevention och ett nationellt avhopparprogram för gängkriminella« (2022 manifesto ↗)“Establish a national knowledge centre for crime prevention and a national exit programme for gang criminals”
  • early intervention against substance abuse»Samtidigt behövs satsningar på socialtjänsten och skolan för att på sikt förhindra att fler dras in i kriminalitet.« (2022 manifesto ↗)“At the same time, investments are needed in social services and schools to in the long term prevent more people from being drawn into crime.”
  • sharper drug policy»Återinföra de specialiserade narkotikapoliserna« (2022 manifesto ↗)“Reintroduce the specialized drug police”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

SDSverigedemokraternaNoYesdeparts from the plannot addressed

The plan wants to see increased focus and more resources on preventive work and that social services' preventive efforts increase to catch young people at risk early.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan wants to see increased focus and more resources on preventive work and that social services' preventive efforts increase to catch young people at risk early. The counter-proposal's demand to review how municipalities' and regions' conditions for preventive work can be strengthened aligns with this. The party programme's municipal financing principle also speaks against municipalities getting expanded responsibility without resources.

Original (Swedish)

Planen vill se ökat fokus och mer resurser på förebyggande arbete och att socialtjänstens förebyggande insatser ökar för att tidigt fånga upp unga på glid. Motförslagets krav på att se över hur kommunernas och regionernas förutsättningar för det förebyggande arbetet kan stärkas ligger i linje med detta. Partiprogrammets kommunala finansieringsprincip talar dessutom mot att kommuner får utvidgat ansvar utan resurser.

  • prioritise preventive workdecisive»Se ökat fokus och mer resurser på förebyggande arbete samt rehabilitering« (2022 manifesto ↗)“See increased focus and more resources on preventive work and rehabilitation”
  • increased preventive efforts»Att socialtjänstens förebyggande insatser ska öka för att tidigt fånga upp ungdomar på glid« (2022 manifesto ↗)“That social services' preventive efforts shall increase in order to catch young people at risk early”
  • municipal financing principle»Staten bör aldrig fatta beslut om nya kostnadsdrivande åtaganden för kommunerna utan att fullt ut kompensera dem för kostnaderna.« (party programme ↗)“The state should never make decisions about new cost-driving commitments for municipalities without fully compensating them for the costs.”
  • early social service interventions»Socialtjänsten behöver också verktyg att tidigare gå in med skarpa åtgärder när det kommer till unga som far illa.« (2022 manifesto ↗)“Social services also need tools to intervene earlier with strong measures when it comes to young people who are suffering.”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

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Sources and documents

Documents under consideration

Source: The Swedish Parliament