2025-02-132024/25:SoU12 · p.14SoUHealth & social services

Youth Reception Centres' Mandate

A clearer remit for youth clinics, including addiction and mental ill-health

What's at stake: Youth clinics are often young people's first point of contact when they are struggling with mental health or emerging substance-use problems. Because the remit is unclear, the support on offer varies between clinics, which can affect how early young people in different parts of the country get help.

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 the government should carry out a review to clarify and broaden the remit of youth clinics - so that it explicitly covers addiction and mental ill-health - or whether the current arrangement, in which the clinics complement other care providers without such a clarified mandate, should remain.

Yes Yes — the committee proposal

The committee recommends rejecting the motion. The committee notes that youth clinics have for several years been an important part of the agreement on mental health and suicide prevention between the government and SKR (the Swedish Association of Local Authorities and Regions), and that they offer, among other things, counselling support through counsellors or psychologists. Their work on young people's mental health is judged to complement the services offered by other providers such as primary care, child and adolescent psychiatry (bup), and schools, so the committee does not see a need for a dedicated review of the clinics' remit.

No No — the reservations

Reservation 16 (V)

The reservation (V) argues that youth clinics are an important actor in detecting substance use, addiction and mental ill-health early, but that there is insufficient guidance on what falls within their remit - which means the range of support varies between clinics. The reservation calls on the government to initiate a review of the clinics' remit to clarify it and explicitly include addiction and mental ill-health.

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 16 by V.

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

The decision would have held

Explicit commitments that contradicted the vote: MPMiljöpartiet

Ja 266–19Ja 252–33

Counterfactual: the parties above are moved to the position their own documents explicitly point at, carrying their whole contingent present. Every other party keeps its real figures, including dissenters and absentees.

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
Vown reservationNoNo 0/19/0/5follows the planconfidence: mediumderived
SNoYes 87/0/0/19departs from the planconfidence: mediumderived
MPNoYes 14/0/0/4departs from the planagainst own programmeconfidence: highexplicit
CNoYes 20/0/0/4departs from the planconfidence: highderived
LNoYes 12/0/0/4departs from the planconfidence: mediumderived
KDNoYes 15/0/0/4departs from the planconfidence: mediumderived
MNoYes 54/0/0/14departs from the planconfidence: mediumnot addressed
SDNoYes 62/0/0/10departs from the planconfidence: highderived

Committee proposal

Parliament rejects motion 2024/25:1905 by Karin Rågsjö et al. (V) demand 18.

Original (Swedish)

Riksdagen avslår motion 2024/25:1905 av Karin Rågsjö m.fl. (V) yrkande 18.

Riksdag decision: Parliament rejected approximately 120 proposals on public health in motions from the general motion period 2024. Parliament refers primarily to the fact that work is already underway in the areas that the proposals address. The motions dealt with, among other things, healthy lifestyle habits, vaccinations and mental health.

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.

VVänsterpartietNoNofollows the planderived

The election manifesto states that mental ill-health increases among young people without healthcare being expanded, and healthcare should be equitable and accessible regardless of who you are.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto states that mental ill-health increases among young people without healthcare being expanded, and healthcare should be equitable and accessible regardless of who you are. The counter-proposal's requirement for a review that clarifies youth centers' mandate and explicitly encompasses dependence and mental ill-health aligns with this, because today's variation between centers means precisely inequitable access. The plan furthermore emphasizes that whoever has become trapped in substance abuse must have access to care and that early measures for children's and young people's health need to be strengthened.

Original (Swedish)

Valmanifestet slår fast att den psykiska ohälsan ökar bland unga utan att vården byggs ut, och att sjukvården ska vara jämlik och tillgänglig oavsett vem du är. Motförslagets krav på en översyn som förtydligar ungdomsmottagningarnas uppdrag och uttryckligen omfattar beroende och psykisk ohälsa ligger i linje med det, eftersom dagens variation mellan mottagningar innebär just ojämlik tillgång. Planen betonar dessutom att den som fastnat i missbruk ska ha tillgång till vård och att tidiga insatser kring barns och ungas hälsa behöver stärkas.

  • expanded care for youth mental ill-healthdecisive»Stressrelaterade sjukdomar blir allt vanligare och psykisk ohälsa ökar särskilt bland kvinnor och hos unga utan att det leder till utbyggd vård eller förändrad arbetsmiljö.« (2022 manifesto ↗)“Stress-related diseases become increasingly common and mental ill-health increases especially among women and among young people without this leading to expanded care or changed working environment.”
  • equitable and accessible care»Sjukvården måste vara jämlik, jämställd och tillgänglig, oavsett var i landet du bor och oavsett vem du är.« (2022 manifesto ↗)“Healthcare must be equitable, gender-equal, and accessible, regardless of where in the country you live and regardless of who you are.”
  • care for substance abuse and dependence»Människor som fastnat i missbruk ska ha tillgång till den vård« (party programme ↗)“People who have become trapped in substance abuse must have access to the care”
  • early measures for young people»Det krävs satsningar inte bara på undervisning utan också på elevhälsa, specialpedagoger, fritidsverksamhet och socialt stöd.« (2022 manifesto ↗)“It requires investments not only in teaching but also in student health, special educators, recreational activities, and social support.”
SSocialdemokraternaNoYesdeparts from the planderived

The election manifesto makes strengthening social services central to catching young people in time and demands more cooperation between police, school health services, social services and schools.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto makes strengthening social services central to catching young people in time and demands more cooperation between police, school health services, social services and schools. The party programme gives all children and young people the right to a secure upbringing free from drugs and violence. A clarified mandate for youth health clinics, which explicitly covers addiction and mental illness, follows from these commitments to early intervention.

Original (Swedish)

Valmanifestet gör det centralt att socialtjänsten stärks för att fånga upp unga i tid och kräver mer samarbete mellan polis, elevhälsa, socialtjänst och skola. Partiprogrammet ger alla barn och unga rätt till en trygg uppväxt fri från droger och våld. Ett förtydligat uppdrag för ungdomsmottagningarna, som uttryckligen omfattar beroende och psykisk ohälsa, följer av dessa åtaganden om tidiga insatser.

  • early intervention for young peopledecisive»Att socialtjänsten stärks är centralt för att fånga upp unga i tid.« (2022 manifesto ↗)“Strengthening social services is central to catching young people in time.”
  • upbringing free from drugs»och till en trygg uppväxt fri från droger och våld.« (party programme ↗)“and to a secure upbringing free from drugs and violence.”
  • coordination on young people»Det behövs mer samarbete mellan polis, elevhälsa, socialtjänst och skola.« (2022 manifesto ↗)“There is a need for more cooperation between police, school health services, social services and schools.”
  • equivalent conditions for young people»Alla barn och ungdomar ska ha rätt till likvärdiga villkor« (party programme ↗)“All children and young people shall have the right to equivalent conditions”

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.

MPMiljöpartietNoYesdeparts from the planexplicit

The plan gives youth clinics an explicit role in the care pathway for young people and requires that they are accessible and cooperate with school health services, primary care and psychiatry.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan gives youth clinics an explicit role in the care pathway for young people and requires that they are accessible and cooperate with school health services, primary care and psychiatry. The counter-proposal's requirement for a review that clarifies the mandate and explicitly encompasses substance abuse and mental illness addresses this, as does the commitment that treatment shall be offered at an early stage. The election manifesto moreover wants to increase access to mental health care.

Original (Swedish)

Planen ger ungdomsmottagningarna en uttalad roll i vårdkedjan för unga och kräver att de är tillgängliga och samverkar med elevhälsa, primärvård och psykiatri. Motförslagets krav på en översyn som förtydligar uppdraget och uttryckligen omfattar beroende och psykisk ohälsa svarar mot detta, liksom mot åtagandet att behandling ska erbjudas i ett tidigt skede. Valmanifestet vill dessutom öka tillgången till vård för psykisk ohälsa.

  • cooperation on young peopledecisive»För barn och unga krävs det en aktiv samverkan mellan elevhälsa, föräldrar, primärvård, ungdomsmottagning och psykiatri.« (party programme ↗)“For children and young people, active cooperation is required between school health services, parents, primary care, youth clinics and psychiatry.”
  • mental healthcare»satsa på primärvården och öka tillgången till vård för psykisk ohälsa.« (2022 manifesto ↗)“invest in primary care and increase access to mental health care.”
  • accessible youth clinics»God sexualundervisning i skolan, tillgängliga ungdomsmottagningar och tillgång till preventivmedel ska säkra en god sexuell och reproduktiv hälsa.« (party programme ↗)“Good sex education in school, accessible youth clinics and access to contraception shall ensure good sexual and reproductive health.”
  • early substance abuse treatment»Alla som har behov av det ska i ett tidigt skede erbjudas verksam behandling för att kunna bryta sitt missbruk.« (party programme ↗)“Everyone who needs it shall be offered effective treatment at an early stage to be able to break their substance abuse.”

The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.

CCenterpartietNoYesdeparts from the planderived

The election manifesto commits to improving support in mental ill-health, not least for young people, and that those who seek help shall meet a simple and consolidated path into care, with increased cooperation between student health services and primary psychiatric care.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto commits to improving support in mental ill-health, not least for young people, and that those who seek help shall meet a simple and consolidated path into care, with increased cooperation between student health services and primary psychiatric care. The counter-proposal's demand for a review that clarifies youth clinic assignments and explicitly covers dependency and mental ill-health follows from this.

Original (Swedish)

Valmanifestet åtar sig att förbättra stödet vid psykisk ohälsa, inte minst för unga, och att den som söker hjälp ska mötas av en enkel och samlad väg in i vården, med ökat samarbete mellan elevhälsan och primärvårdspsykiatrin. Motförslagets krav på en översyn som förtydligar ungdomsmottagningarnas uppdrag och uttryckligen omfattar beroende och psykisk ohälsa följer av detta.

  • simple path in for young peopledecisive»Stödet för personer med psykisk ohälsa måste förbättras, inte minst för unga. Den som söker hjälp ska ha en enkel och samlad väg in till vården. Köerna till BUP måste arbetas bort.« (2022 manifesto ↗)“Support for persons with mental ill-health must be improved, not least for young people. Those who seek help shall have a simple and consolidated path into care. Queues for child and adolescent psychiatric services must be worked off.”
  • coordinated youth psychiatry»Samarbetet mellan elevhälsovården och primärvårdspsykiatrin måste öka och köerna till BUP kortas.« (2022 manifesto ↗)“Cooperation between student health services and primary psychiatric care must increase and queues for child and adolescent psychiatric services shortened.”
  • preventive measures for young people»Den psykiska ohälsan hos våra barn och unga är alldeles för hög och vi måste arbeta mer förebyggande och skapa enkla vägar till vården« (2022 manifesto ↗)“Mental ill-health in our children and young people is far too high and we must work more preventively and create simple paths to care”
  • support for abuse and ill-health»psykisk ohälsa eller missbruksproblem måste ha inflytande över sitt liv och få det stöd som behövs.« (party programme ↗)“mental ill-health or substance abuse problems must have influence over their lives and get the support they need.”

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.

LLiberalernaNoYesdeparts from the planderived

The party programme establishes that the right to care and treatment is equally obvious for mental as for physical illness, that addiction means lost freedom and that close cooperation between social services, healthcare and the judiciary is important for those who have fallen into substance abuse.

Plan documents: party programme

Reasoning and quotes

The party programme establishes that the right to care and treatment is equally obvious for mental as for physical illness, that addiction means lost freedom and that close cooperation between social services, healthcare and the judiciary is important for those who have fallen into substance abuse. Clarifying youth centres' remit so that it explicitly covers addiction and mental ill-health follows from these commitments and from the plan's emphasis on early measures. The plan does not mention youth centres, hence support is derived.

Original (Swedish)

Partiprogrammet slår fast att rätten till vård och behandling är lika självklar för psykiska som fysiska sjukdomar, att beroende innebär förlorad frihet och att nära samverkan mellan socialtjänst, vård och rättsväsende är viktig för den som hamnat i missbruk. Att förtydliga ungdomsmottagningarnas uppdrag så att det uttryckligen omfattar beroende och psykisk ohälsa följer av dessa åtaganden och av planens betoning av tidiga insatser. Planen nämner inte ungdomsmottagningar, varför stödet är härlett.

  • mental care on equal termsdecisive»Rätten till vård och behandling är lika självklar för både fysiska och psykiska sjukdomar.« (party programme ↗)“The right to care and treatment is equally obvious for both physical and mental illness.”
  • addiction limits freedom»Den som blir beroende av droger i någon form förlorar sin frihet.« (party programme ↗)“Those who become addicted to drugs in any form lose their freedom.”
  • cooperation on substance abuse»En nära samverkan mellan socialtjänst, hälso- och sjukvård och rättsväsende är viktig« (party programme ↗)“Close cooperation between social services, healthcare and the judiciary is important”
  • early preventive measures»Tidiga och förebyggande insatser är avgörande.« (party programme ↗)“Early and preventive measures are crucial.”

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 planderived

The plan places particular emphasis on rapid and accessible expertise for children and young people with mental ill-health and wants substance abuse care to be of high quality and accessible throughout the country.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan places particular emphasis on rapid and accessible expertise for children and young people with mental ill-health and wants substance abuse care to be of high quality and accessible throughout the country. The election manifesto requires integrated child and youth health care. A review clarifying the youth centres' mandate and explicitly encompassing addiction and mental ill-health directly addresses these commitments.

Original (Swedish)

Planen lägger särskild vikt vid snabb och tillgänglig kompetens för barn och ungdom med psykisk ohälsa och vill att missbruksvården är av hög kvalitet och tillgänglig i hela landet. Valmanifestet kräver en sammanhållen barn- och ungdomshälsovård. En översyn som förtydligar ungdomsmottagningarnas uppdrag och uttryckligen omfattar beroende och psykisk ohälsa svarar direkt mot dessa åtaganden.

  • rapid help for young people's mental ill-healthdecisive»Särskild vikt ska läggas vid snabb och tillgänglig kompetens för barn och ungdom med psykisk ohälsa.« (party programme ↗)“Particular emphasis shall be placed on rapid and accessible expertise for children and young people with mental ill-health.”
  • integrated youth health care»Kraftigt stärkt elevhälsa med en sammanhållen barn- och ungdomshälsovård och föräldrastödsprogram som erbjuds alla föräldrar.« (2022 manifesto ↗)“Significantly strengthened school health with integrated child and youth health care and parental support programmes offered to all parents.”
  • equal substance abuse care throughout the country»hög kvalitet och erbjudas och vara tillgänglig i hela landet.« (party programme ↗)“high quality and offered and be accessible throughout the country.”
  • accessible psychiatric care»Psykiatrisk vård och omsorg ska präglas av tillgänglighet och flexibilitet utifrån patientens behov.« (party programme ↗)“Psychiatric care and services shall be characterized by accessibility and flexibility based on patient needs.”

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 prioritizes the mental wellbeing of children and young people highly and contains over 50 reforms to strengthen social services, schools and addiction care, as well as a strengthened child and youth psychiatry so that young people get help quickly.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan prioritizes the mental wellbeing of children and young people highly and contains over 50 reforms to strengthen social services, schools and addiction care, as well as a strengthened child and youth psychiatry so that young people get help quickly. The counter-proposal's requirement for a review that clarifies the mission of youth reception centres and explicitly covers addiction and mental ill-health is in line with that. The documents do not mention youth reception centres, which is why the conclusion is derived.

Original (Swedish)

Planen prioriterar barns och ungas psykiska mående högt och innehåller över 50 reformer för att stärka socialtjänst, skola och missbruksvård, samt en förstärkt barn- och ungdomspsykiatri så att unga får hjälp snabbt. Motförslagets krav på en översyn som förtydligar ungdomsmottagningarnas uppdrag och uttryckligen omfattar beroende och psykisk ohälsa ligger i linje med det. Dokumenten nämner inte ungdomsmottagningarna, varför slutsatsen är härledd.

  • strengthened addiction caredecisive»Det handlar om över 50 reformer för att stärka socialtjänst, skola och missbruksvård.« (2022 manifesto ↗)“It is about over 50 reforms to strengthen social services, schools and addiction care.”
  • quick help for young people»Stärka barn- och ungdomspsykiatrin så att barn och unga som mår dåligt får hjälp snabbt« (2022 manifesto ↗)“Strengthen child and youth psychiatry so that children and young people who are struggling get help quickly”
  • children's mental health prioritized»Få saker är viktigare att prioritera än barns psykiska mående.« (2022 manifesto ↗)“Few things are more important to prioritize than children's mental wellbeing.”
  • suicide prevention for young people»Ta fram en nationell strategi mot självmord, med särskilt fokus på barn och unga« (2022 manifesto ↗)“Develop a national strategy against suicide, with particular focus on children and young people”

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 planderived

The election manifesto states that treatment resources shall not be limited solely to child and adolescent psychiatry and calls for a review of how health and medical care can be restructured to earlier identify patients with mental health issues.

Plan documents: 2022 manifesto

Reasoning and quotes

The election manifesto states that treatment resources shall not be limited solely to child and adolescent psychiatry and calls for a review of how health and medical care can be restructured to earlier identify patients with mental health issues. A review that clarifies the youth centres' task and explicitly covers addiction and mental health responds to that commitment. The plan also wants to strengthen efforts for young people's mental health and early detect and treat illness.

Original (Swedish)

Valmanifestet slår fast att behandlingsresurser inte enbart ska begränsas till barn- och ungdomspsykiatrin och efterfrågar en översyn av hur hälso- och sjukvården kan omstruktureras för att tidigare fånga upp patienter med psykisk ohälsa. En översyn som förtydligar ungdomsmottagningarnas uppdrag och uttryckligen omfattar beroende och psykisk ohälsa svarar mot det åtagandet. Planen vill också stärka insatserna för ungas psykiska hälsa och tidigt upptäcka och behandla ohälsa.

  • review for earlier detectiondecisive»Idag hanteras också psykisk ohälsa ofta reaktivt snarare än proaktivt. Därför behövs en översyn om hur hälso- och sjukvården kan omstruktureras för att tidigare fånga upp patienter som drabbas.« (2022 manifesto ↗)“Today mental health issues are also often handled reactively rather than proactively. Therefore a review is needed of how health and medical care can be restructured to earlier identify affected patients.”
  • care also outside BUP»Sverigedemokraternas uppfattning är att behandlingsresurser inte enbart ska begränsas till barn- och ungdomspsykiatrin (BUP).« (2022 manifesto ↗)“Sweden Democrats' view is that treatment resources shall not be limited solely to child and adolescent psychiatry (BUP).”
  • early detection»Tidigt upptäcka och behandla psykisk ohälsa« (2022 manifesto ↗)“Early detect and treat mental health issues”
  • efforts for young people's mental health»Stärka insatserna för att förbättra ungas psykiska hälsa« (2022 manifesto ↗)“Strengthen efforts to improve young people's mental health”

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