2024-05-222023/24:SfU13 · p.19SfUMigration & social insurance
Sick leave for mental illness
Sick leave due to mental ill-health
What's at stake: Women are on sick leave for mental ill-health at almost double the rate of men, and the decision affects whether the state should direct dedicated resources at this group specifically and at early signs of mental ill-health and suicide risk. It is therefore about how quickly and accurately the healthcare system and the Social Insurance Agency can identify people with mental ill-health before sick-leave periods become prolonged.
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 be given new, specific tasks to counter sick leave due to mental ill-health – such as targeted rehabilitation efforts, a suicide-prevention focus and dedicated measures for women's mental health – or whether the ongoing work to strengthen the rehabilitation chain and reduce unnecessarily long sick-leave periods is judged sufficient.
Yes Yes — the committee proposal
The committee rejects the motions. The exact reasoning for this specific point is not fully captured in the material, but it is in line with the committee's broader assessment that the government already intends to strengthen the rehabilitation chain and take further measures against unnecessarily numerous, especially long, periods of sick leave – including through clearer check-in points – and that there is therefore no reason for parliament to now specify further, more targeted tasks on mental ill-health.
No No — the reservations
Reservation 37 (SD)
The reservation (SD) wants the government to increase knowledge about effective rehabilitation measures and develop rehabilitation specifically for people on sick leave with mental ill-health, with a particular focus on women's mental health since women are on sick leave for mental ill-health at almost double the rate of men. The reservation also wants to strengthen knowledge-building efforts on early signs of mental ill-health so that swift measures can be taken, include a suicide-prevention focus in sickness-insurance work, review how the Social Insurance Agency handles sick leave for psychiatric diagnoses, consider requiring medical suicide-risk assessments in the medical decision-support system for sickness insurance, and direct the national suicide-prevention effort at problem areas within sickness insurance.
Summarised from the committee report. Party labels in the summary come from the report, not from the vote.
What do the votes mean here?
Yes The committee proposal: rejecting the motions (keeping things as they are).
No Backing the counter-proposal: reservation 37 by SD.
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: CCenterpartiet, VVänsterpartiet
Ja 236–63Ja 198–101
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.
How the AI parties would have voted
For each party: what its own plan – election manifesto and party programme – argues for in this case, next to how the party actually voted. The AI can only answer Yes or No; a party can also abstain.
| AI | Vote | Confidence | Evidence | ||
|---|---|---|---|---|---|
| V | No | Yes 19/0/0/5 | differsagainst own programme | confidence: high | explicit |
| S | No | Yes 93/0/0/13 | differs | confidence: medium | not addressed |
| MP | No | Yes 16/0/0/2 | differs | confidence: medium | not addressed |
| C | No | Yes 19/0/0/5 | differsagainst own programme | confidence: high | explicit |
| L | No | Yes 11/0/0/5 | differs | confidence: medium | derived |
| KD | No | Yes 17/0/0/2 | differs | confidence: medium | not addressed |
| M | No | Yes 60/0/0/8 | differs | confidence: medium | not addressed |
| SD | No | No 0/62/0/10 | match | confidence: high | explicit |
Committee proposal
The Riksdag rejects the motions 2023/24:392 by Clara Aranda et al. (SD) demands 14-22 and 25 and 2023/24:1402 by Ann-Sofie Alm (M) demand 2.
Original (Swedish)
Riksdagen avslår motionerna 2023/24:392 av Clara Aranda m.fl. (SD) yrkandena 14-22 och 25 samt 2023/24:1402 av Ann-Sofie Alm (M) yrkande 2.
Riksdag decision: The Riksdag said no to approximately 180 proposals in motions on social security matters from the general motion period 2023. The proposals concern, for example, security systems for self-employed and students, sickness insurance and rehabilitation, activity and sickness benefits as well as occupational injury compensation. The Riksdag refers, among other things, to that work is already underway in areas that the motions address.
Counter-proposals
- The counter-proposal wants to establish a parliamentary committee to develop a national strategy for the sickness absence process. (SD) — Reservation 37
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.
The election manifesto explicitly points out that mental illness is increasing especially among women and young people without leading to expanded care or improved working conditions, and demands the right to rapid help also for burnout.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto explicitly points out that mental illness is increasing especially among women and young people without leading to expanded care or improved working conditions, and demands the right to rapid help also for burnout. The counter-proposal's demand for developed rehabilitation for mental illness with a focus on women's health and early signs directly responds to this. The plan further wants to see a humane sickness insurance and an end to delisting from insurance.
Original (Swedish)
Valplattformen pekar uttryckligen ut att psykisk ohälsa ökar särskilt bland kvinnor och unga utan att det leder till utbyggd vård eller förändrad arbetsmiljö, och kräver rätt till snabb hjälp också vid utbrändhet. Motförslagets krav på utvecklad rehabilitering vid psykisk ohälsa med fokus på kvinnors hälsa och tidiga tecken svarar direkt mot det. Planen vill dessutom se en mänsklig sjukförsäkring och ett slut på utförsäkrandet.
- mental illness among womendecisive»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 illnesses are becoming increasingly common and mental illness is increasing particularly among women and young people without leading to expanded care or improved working conditions.”
- rapid help for burnout»Du ska ha rätt till hjälp snabbt oavsett om du har brutit benet eller blivit utbränd.« (2022 manifesto ↗)“You should have the right to help quickly whether you have broken a bone or become burned out.”
- humane sickness insurance»Vänsterpartiet vill se en mänsklig sjukförsäkring och ett slut på utförsäkrandet av sjuka.« (2022 manifesto ↗)“The Left Party wants to see a humane sickness insurance and an end to delisting the sick from insurance.”
- comprehensive security»utformade så att alla människor ska kunna leva tryggt, också den« (party programme ↗)“designed so that all people can live securely, also the”
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.
The election manifesto guards the principle that those too ill to work can rely on sickness insurance and wants greater financial security in illness.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto guards the principle that those too ill to work can rely on sickness insurance and wants greater financial security in illness. The party programme is explicitly feminist and requires a working environment that promotes health. The counter-proposal's requirement for developed rehabilitation for mental health problems with particular focus on women follows from these commitments.
Original (Swedish)
Valmanifestet slår vakt om att den som är för sjuk för att arbeta ska kunna lita på sjukförsäkringen och vill ha större ekonomisk trygghet vid sjukdom. Partiprogrammet är uttryckligen feministiskt och kräver en arbetsmiljö som främjar hälsa. Motförslagets krav på utvecklad rehabilitering vid psykisk ohälsa med särskilt fokus på kvinnor följer av dessa åtaganden.
- reliance on sickness insurancedecisive»Våra förbättringar av trygghetssystemen står på spel i höstens val – och vi slår vakt om principen att den som är för sjuk för att arbeta ska kunna lita på sjukförsäkringen.« (2022 manifesto ↗)“Our improvements to the security systems are at stake in the autumn election – and we guard the principle that those too ill to work can rely on sickness insurance.”
- financial security in illness»Också vid sjukdom är det nödvändigt med större ekonomisk trygghet.« (2022 manifesto ↗)“Also in illness, greater financial security is necessary.”
- feminist perspective on ill-health»Med denna grundsyn är socialdemokratin ett feministiskt parti.« (party programme ↗)“With this fundamental view, the Social Democrats are a feminist party.”
- health-promoting working environment»Det fordrar en arbetsmiljö, som främjar hälsa och välbefinnande.« (party programme ↗)“It requires a working environment that promotes health and well-being.”
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.
The election manifesto commits to changing health insurance so it provides better security and that people are not shuffled between agencies, and to increasing access to mental health care.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto commits to changing health insurance so it provides better security and that people are not shuffled between agencies, and to increasing access to mental health care. The party programme states that mental ill-health is growing and that an equality and gender perspective shall pervade care. The counter-proposal's demand for developed rehabilitation for mental ill-health with focus on women follows from these commitments.
Original (Swedish)
Valmanifestet åtar sig att förändra sjukförsäkringen så att den ger bättre trygghet och att människor inte bollas mellan myndigheter, samt att öka tillgången till vård för psykisk ohälsa. Partiprogrammet konstaterar att den psykiska ohälsan växer och att ett jämlikhets- och genusperspektiv ska genomsyra vården. Motförslagets krav på utvecklad rehabilitering vid psykisk ohälsa med fokus på kvinnor följer av dessa åtaganden.
- more secure health insurancedecisive»förändra sjukförsäkringen så den ger bättre trygghet vid sjukskrivning och se till att människor inte bollas mellan myndigheter när de behöver samhällets stöd« (2022 manifesto ↗)“change health insurance so it provides better security during sick leave and ensure that people are not shuffled between agencies when they need society's support”
- care for mental ill-health»satsa på primärvården och öka tillgången till vård för psykisk ohälsa« (2022 manifesto ↗)“invest in primary care and increase access to mental health care”
- growing mental ill-health»Den psykiska ohälsan växer, och leder till stort« (party programme ↗)“Mental ill-health is growing, and leads to great”
- gender perspective in care»jämlikhetsperspektiv ska genomsyra all vård« (party programme ↗)“equality perspective shall pervade all care”
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.
The election manifesto explicitly requires doing more to prevent, counter and rehabilitate stress-related mental illness and that rehabilitation be improved.
Plan documents: 2022 manifesto
Reasoning and quotes
The election manifesto explicitly requires doing more to prevent, counter and rehabilitate stress-related mental illness and that rehabilitation be improved. It also wants to invest in research on stress-related mental illness and strengthen gender medical expertise, which meets the counter-proposal's focus on women's mental health. Suicide is also touched on in the plan's situation description, which supports a suicide-preventive perspective in sickness insurance work.
Original (Swedish)
Valmanifestet kräver uttryckligen att mer görs för att förebygga, motverka och rehabilitera stressrelaterad psykisk ohälsa och att rehabiliteringen förbättras. Det vill dessutom satsa på forskning om den stressrelaterade psykiska ohälsan och stärka den genusmedicinska kompetensen, vilket möter motförslagets fokus på kvinnors psykiska hälsa. Även suicidfrågan berörs i planens lägesbeskrivning, vilket stödjer ett suicidpreventivt perspektiv i sjukförsäkringsarbetet.
- rehabilitation for mental illnessdecisive»Gör mer för att förebygga, motverka och rehabilitera stressrelaterad psykisk ohälsa. Vi vill göra sjukskrivningen mer flexibel och förbättra rehabiliteringen.« (2022 manifesto ↗)“Do more to prevent, counter and rehabilitate stress-related mental illness. We want to make sick leave more flexible and improve rehabilitation.”
- research on women's illness»Vi vill satsa på forskning om kvinnosjukdomar, den stressrelaterade psykiska ohälsan och stärka den genusmedicinska kompetensen inom vården.« (2022 manifesto ↗)“We want to invest in research on women's diseases, stress-related mental illness and strengthen gender medical expertise within healthcare.”
- employer's rehabilitation responsibility»Arbetsgivare bör ta ett större ansvar för förebyggande insatser och rehabilitering.« (2022 manifesto ↗)“Employers should take greater responsibility for preventive measures and rehabilitation.”
- suicide as a social problem»tre fjärdedelar av dem som tar sitt liv är män« (2022 manifesto ↗)“three-quarters of those who take their own lives are men”
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.
The plan establishes that the right to care and treatment is equally self-evident for both physical and mental illness and that sickness insurance shall be linked to support and rehabilitation for return to work.
Plan documents: party programme
Reasoning and quotes
The plan establishes that the right to care and treatment is equally self-evident for both physical and mental illness and that sickness insurance shall be linked to support and rehabilitation for return to work. It moreover requires that the equality perspective be developed in healthcare, which bears the requirement for particular focus on women's mental health. The counter-proposal's requirement for developed rehabilitation for mental illness is thus supported.
Original (Swedish)
Planen slår fast att rätten till vård och behandling är lika självklar vid psykiska som vid fysiska sjukdomar och att sjukförsäkringen ska vara kopplad till stöd och rehabilitering för återgång i arbete. Den kräver också att jämställdhetsperspektivet utvecklas i vården, vilket bär kravet på särskilt fokus på kvinnors psykiska hälsa. Motförslagets krav på utvecklad rehabilitering vid psykisk ohälsa stöds därför.
- mental illness equaliseddecisive»Rätten till vård och behandling är lika självklar för både fysiska och psykiska sjukdomar.« (party programme ↗)“The right to care and treatment is equally self-evident for both physical and mental illness.”
- rehabilitation for return to work»kopplad till stöd och rehabilitering för att underlätta återgång till arbete.« (party programme ↗)“linked to support and rehabilitation to facilitate return to work.”
- equal healthcare»Jämställdhetsperspektivet ska utvecklas i hälso- och sjukvården.« (party programme ↗)“The equality perspective shall be developed in healthcare.”
- primary healthcare's responsibility for mental illness»Primärvården bör ansvara för patienter med mildare psykisk ohälsa.« (party programme ↗)“Primary healthcare should be responsible for patients with milder mental illness.”
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.
The party programme requires that psychiatric care be marked by accessibility and flexibility based on patient needs and that benefit levels be designed so that the individual is stimulated to participate in measures that lead to good health and return to work.
Plan documents: party programme
Reasoning and quotes
The party programme requires that psychiatric care be marked by accessibility and flexibility based on patient needs and that benefit levels be designed so that the individual is stimulated to participate in measures that lead to good health and return to work. Care should also consciously note differences between women and men. The counter-proposal's demand for developed rehabilitation for mental illness with focus on women follows from this.
Original (Swedish)
Principprogrammet kräver att psykiatrisk vård präglas av tillgänglighet och flexibilitet utifrån patientens behov och att ersättningsnivåerna utformas så att den enskilde stimuleras att delta i åtgärder som leder till god hälsa och återgång i arbete. Vården ska dessutom medvetet beakta skillnader mellan kvinnor och män. Motförslagets krav på utvecklad rehabilitering vid psykisk ohälsa med fokus på kvinnor följer av detta.
- accessible psychiatric caredecisive»Psykiatrisk vård och omsorg ska präglas av tillgänglighet och flexibilitet utifrån patientens behov.« (party programme ↗)“Psychiatric care and treatment shall be marked by accessibility and flexibility based on patient needs.”
- stimulate rehabilitation»Nivåerna på ersättningarna ska utformas så att den enskilde stimuleras att delta i åtgärder« (party programme ↗)“Benefit levels shall be designed so that the individual is stimulated to participate in measures”
- care adapted to gender»Vården måste medvetet beakta skillnader mellan« (party programme ↗)“Care must consciously note differences between”
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.
The election manifesto explicitly highlights that women are on sick leave to a greater extent than men and commits to both a national strategy against suicide and strengthened research on women's diseases.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto explicitly highlights that women are on sick leave to a greater extent than men and commits to both a national strategy against suicide and strengthened research on women's diseases. The counter-proposal's demands for better rehabilitation in mental illness, knowledge about women's mental health and a suicide-prevention focus align with this. The measures also aim to utilize the work capacity that exists, which is the plan's employment line.
Original (Swedish)
Valmanifestet lyfter uttryckligen att kvinnor är sjukskrivna i högre utsträckning än män och lovar både en nationell strategi mot självmord och stärkt forskning om kvinnors sjukdomar. Motförslagets krav på bättre rehabilitering vid psykisk ohälsa, kunskap om kvinnors psykiska hälsa och ett suicidpreventivt fokus ligger i linje med detta. Insatserna syftar dessutom till att ta till vara den arbetsförmåga som finns, vilket är planens arbetslinje.
- national suicide strategydecisive»Ta fram en nationell strategi mot självmord, med särskilt fokus på barn och unga« (2022 manifesto ↗)“Draw up a national strategy against suicide, with particular focus on children and young people”
- women's higher sick leave»Kvinnor i Sverige förvärvsarbetar fortfarande i lägre utsträckning än män och är sjukskrivna i högre utsträckning.« (2022 manifesto ↗)“Women in Sweden are still in the labour force to a lesser extent than men and are on sick leave to a greater extent.”
- research on women's health»Stärka forskningen gällande sjukdomar som drabbar kvinnor« (2022 manifesto ↗)“Strengthen research on diseases that affect women”
- utilize work capacity»på den arbetsförmåga som varje enskild person har och bidra« (party programme ↗)“on the work capacity that each individual person has and contribute”
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.
The plan explicitly commits to better adapting sick leave and occupational injury insurance for those with mental illness and to allocating more resources to preventive work and rehabilitation.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan explicitly commits to better adapting sick leave and occupational injury insurance for those with mental illness and to allocating more resources to preventive work and rehabilitation. It also wants to appoint a national coordinator for suicide prevention and see standardized monitoring of suicide-near cases. The counter-proposal's demands for developed rehabilitation in mental illness and suicide-preventive focus in sick leave insurance are therefore contained within the plan.
Original (Swedish)
Planen åtar sig uttryckligen att bättre anpassa sjuk- och arbetsskadeförsäkringen för dem med psykisk ohälsa och att lägga mer resurser på förebyggande arbete och rehabilitering. Den vill också tillsätta en nationell samordnare för suicidprevention och se standardiserad uppföljning av självmordsnära. Motförslagets krav på utvecklad rehabilitering vid psykisk ohälsa och suicidpreventivt fokus i sjukförsäkringen ryms därmed i planen.
- sick insurance for mental illnessdecisive»Bättre anpassa sjuk och arbetsskadeförsäkring för dem med psykisk ohälsa« (2022 manifesto ↗)“Better adapt sick leave and occupational injury insurance for those with mental illness”
- prevention and rehabilitation»Se ökat fokus och mer resurser på förebyggande arbete samt rehabilitering« (2022 manifesto ↗)“See increased focus and more resources on preventive work and rehabilitation”
- suicide prevention»Tillsätta en nationell samordnare med ansvar för suicidprevention« (2022 manifesto ↗)“Appoint a national coordinator responsible for suicide prevention”
- shortcomings in rehabilitation chain»Samtidigt påvisar Riksrevisionen allvarliga brister i rehabiliteringskedjan kopplat till psykisk ohälsa.« (2022 manifesto ↗)“Meanwhile, the National Audit Office reveals serious shortcomings in the rehabilitation chain related to mental illness.”
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Sources and documents
- The committee report on riksdagen.se (2023/24:SfU13)
- Committee report full text (HB01SfU13)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2023/24:1004 — Orättvisan i karensavdraget av Louise Thunström (S)
- Motion 2023/24:1065 — Reformerad arbetsskadeförsäkring av Helén Pettersson och Åsa Karlsson (båda S)
- Motion 2023/24:1070 — Säkrad övergång mellan aktivitetsersättning och sjukersättning av Åsa Karlsson och Helén Pettersson (båda S)
- Motion 2023/24:108 — Vård av förälder av Margareta Cederfelt (M)
- Motion 2023/24:1140 — Skönstaxerade inkomster av Boriana Åberg (M)
- Motion 2023/24:1176 — Omställning och utbildning för fler av Johanna Haraldsson m.fl. (S)
- Motion 2023/24:1203 — Rehabilitering för långtidssjuka av Johanna Haraldsson m.fl. (S)
- Motion 2023/24:1222 — Tryggare studietid för studenter av Stina Larsson (C)
- Motion 2023/24:1402 — Lex Rebecka - att orka leva, att våga leva av Ann-Sofie Alm (M)
- Motion 2023/24:1502 — Jämställd akademi av Eva Lindh (S)
- Motion 2023/24:1537 — Utveckla Finsam och underlätta samverkan av Eva Lindh m.fl. (S)
- Motion 2023/24:1546 — Återupprättande av arbetsskadeförsäkringen av Joakim Järrebring (S)
- Motion 2023/24:1561 — Stärkande av rehabiliteringen i sjukförsäkringen av Mattias Vepsä (S)
- Motion 2023/24:1570 — Om stärkt trygghet för företagare av Mathias Tegnér och Jennie Nilsson (båda S)
- Motion 2023/24:1587 — Översyn av det orättvisa karensavdraget av Gunilla Svantorp och Hanna Westerén (båda S)
- Motion 2023/24:1594 — Avskaffat karensavdrag av Karin Sundin m.fl. (S)
- Motion 2023/24:1607 — En fungerande arbetsmarknad i hela Öresundsområdet av Niels Paarup-Petersen (C)
- Motion 2023/24:1637 — Gör avsättningar till en periodiseringsfond sjukpenninggrundande av Niels Paarup-Petersen (C)
- Motion 2023/24:1666 — Förändringar av regler för karensavdrag av Mattias Jonsson och Johan Büser (båda S)
- Motion 2023/24:1856 — Ett rättvisare karensavdrag av Olle Thorell och Lena Johansson (båda S)
Source: The Swedish Parliament