Comorbidity

The plan establishes that people caught in substance abuse shall have access to the care they need and be treated with respect. The election manifesto explicitly criticizes that care has been fragmented between levels and actors so the individual is bounced around, which is precisely the problem the comorbidity review shall solve through unified care responsibility. That care shall be given according to need and not according to system construction carries the counter-proposal's requirements.

• right to substance abuse caredecisive»Människor som fastnat i missbruk ska ha tillgång till den vård« (party programme ↗)“People caught in substance abuse shall have access to the care”
• against fragmented care»Vården och omsorgen har styckats upp, mellan nivåer och aktörer, människor bollas runt i en stor administrativ apparat och det är ofta en kamp för den enskilde och dess anhöriga att få rätt tillgång till vård.« (2022 manifesto ↗)“Care and services have been fragmented, between levels and actors, people are bounced around in a large administrative apparatus and it is often a struggle for the individual and their family to get the right access to care.”
• care according to need»Vård måste ges efter människors behov och inte efter kapaciteten i felaktigt konstruerade system.« (2022 manifesto ↗)“Care must be given according to people's needs and not according to capacity in wrongly constructed systems.”
• comprehensive healthcare»Sjukvården ska vara heltäckande, bygga på« (party programme ↗)“Healthcare shall be comprehensive, build on”

The party programme requires ambitious measures against mental ill-health and equal rights for all to good health and medical care provided by society, and increased state responsibility for national equality. To collectively bring treatment of harmful use and addiction into health and medical care is an application of precisely that principle to a group that today falls between authorities. The plan does not mention the comorbidity reform, hence the derived coverage.

• equal right to good caredecisive»Lika rätt för alla till god hälso- och sjukvård genom samhällets försorg.« (party programme ↗)“Equal rights for all to good health and medical care provided by society.”
• measures against mental ill-health»Ambitiösa insatser mot psykisk ohälsa, särskilt bland barn och unga.« (party programme ↗)“Ambitious measures against mental ill-health, especially among children and young people.”
• national equality in healthcare»Ökat statligt ansvar och kontroll över sjukvården för nationell likvärdighet.« (party programme ↗)“Increased state responsibility and control over health care for national equality.”
• equalizing social policy»En socialpolitik som utjämnar klyftor och frigör människor.« (party programme ↗)“A social policy that equalizes gaps and frees people.”

The plan states that persons with substance abuse problems have the right to the best possible healthcare and that abuse is a disease where focus shall shift from punishment to healthcare — which is precisely what making treatment the responsibility of healthcare is about. The plan also wishes people with complex problems not to be passed between authorities. The counter-proposal's demand for swift proposals based on the comorbidity investigation is therefore supported.

• right to best possible healthcaredecisive»Personer med beroende- och missbruksproblematik har precis som alla andra invånare i Sverige rätt till bästa möjliga vård.« (party programme ↗)“Persons with dependency and substance abuse problems have just like all other inhabitants in Sweden the right to the best possible healthcare.”
• abuse as disease»Den enskildas missbruk är en sjukdom och vi vill se ett ändrat fokus från straff till vård.« (party programme ↗)“The individual's abuse is a disease and we wish to see a changed focus from punishment to healthcare.”
• no passing between authorities»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 ↗)“modify social insurance so it provides better security in case of sick leave and ensure that people are not passed between authorities when they need society's support.”
• evidence-based substance abuse healthcare»Missbrukspolitiken bör utgå från de metoder som forskningen visat vara mest effektiva för att lindra skadeverkningarna av missbruk och beroende« (party programme ↗)“Substance abuse policy should be based on the methods that research has shown to be most effective at mitigating the harms of abuse and dependency”

The election manifesto requires that those seeking support be met with a coordinated and straightforward path into care, and the party programme states that people with mental illness or substance use problems must receive the support they need. A reform that consolidates the treatment of harmful use and addiction within health and medical care is precisely such an integrated gateway. The plan simultaneously values the regions' principal responsibility, which the counter-proposal does not disturb.

• a path into caredecisive»Den som söker stöd ska mötas av en samlad och enkel väg in till vården och erbjudas bättre egenvård i väntan på behandling.« (2022 manifesto ↗)“Those seeking support shall be met with a coordinated and straightforward path into care and offered better self-care while awaiting treatment.”
• support for substance use and mental illness»Personer med funktionsnedsättningar, psykisk ohälsa eller missbruksproblem måste ha inflytande över sitt liv och få det stöd som behövs.« (party programme ↗)“People with disabilities, mental illness or substance use problems must have influence over their lives and receive the support they need.”
• improved psychiatric support»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.« (2022 manifesto ↗)“Support for people with mental illness must be improved, especially for young people. Those seeking help shall have a straightforward and coordinated path into care.”
• regional principal responsibility»Ansvaret för vården ska inte flyttas från regionerna till staten.« (2022 manifesto ↗)“The responsibility for care must not be moved from the regions to the state.”

The plan stipulates that the right to healthcare and treatment is just as obvious for mental as for physical illnesses and that addiction shall be fought with functioning, evidence-based care. It also requires close cooperation between social services and healthcare for those who have fallen into substance abuse to get help. Moving treatment of harmful substance use and addiction into healthcare thus follows from the plan's healthcare vision.

• mental healthcare equated with physicaldecisive»Rätten till vård och behandling är lika självklar för både fysiska och psykiska sjukdomar.« (party programme ↗)“The right to healthcare and treatment is just as obvious for both physical and mental illnesses.”
• evidence-based addiction care»en fungerande, evidensbaserad vård. Politiken ska utgå från en skadelindringsprincip.« (party programme ↗)“functioning, evidence-based care. Policy shall be based on a harm reduction principle.”
• coordinated measures against substance abuse»En nära samverkan mellan socialtjänst, hälso- och sjukvård och rättsväsende är viktig för att« (party programme ↗)“Close cooperation between social services, healthcare, and the justice system is important to”
• scientifically based substance abuse care»Missbruks- och beroendevården ska vara vetenskapligt grundad.« (party programme ↗)“Substance abuse and addiction care shall be scientifically based.”

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 requires that substance abuse treatment is aimed at breaking the addiction and that care and rehabilitation maintain high quality and are accessible throughout the country, as well as that cooperation between responsible bodies shall be well developed. To gather treatment of harmful use within healthcare is a means for the coordination the plan seeks. The election manifesto's direction is however that the state, not the regions, shall bear the responsibility for healthcare, which makes support for precisely the change of responsible body uncertain.

• substance abuse treatment that breaks addictiondecisive»Missbrukarvård ska inriktas på att bryta beroendet och ge förutsättningar för en« (party programme ↗)“Substance abuse treatment shall be aimed at breaking the addiction and providing conditions for a”
• equal healthcare 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.”
• cooperation between responsible bodies»huvudmän ska vara väl utvecklad.« (party programme ↗)“responsible bodies shall be well developed.”
• state responsibility for healthcare»Avskaffa regionernas ansvar för sjukvården. Låt staten ta över ansvaret för vården med en gemensam organisation i stället för 21 olika.« (2022 manifesto ↗)“Abolish the regions' responsibility for healthcare. Let the state take over responsibility for healthcare with one common organization instead of 21 different.”

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 counter-proposal wants the proposals from the inquiry into comorbidity to be implemented so that addiction care gets a clearer principal within healthcare. The plan explicitly commits to a comprehensive reform package to strengthen addiction care alongside social services and schools, and wants to strengthen care for young people with mental health problems. The plan also requires that welfare delivers at its core, which speaks for structural change when the services today do not connect.

• strengthened addiction caredecisive»Det handlar om över 50 reformer för att stärka socialtjänst, skola och missbruksvård.« (2022 manifesto ↗)“It concerns over 50 reforms to strengthen social services, schools and addiction care.”
• strengthened psychiatry»Stärka barn- och ungdomspsykiatrin så att barn och unga som mår dåligt får hjälp snabbt« (2022 manifesto ↗)“Strengthen child and adolescent psychiatry so that children and young people who are struggling receive help quickly”
• equivalent care at the right time»Alla har rätt till likvärdig vård – som kan ges i rätt tid och håller hög kvalitet.« (2022 manifesto ↗)“Everyone has the right to equivalent care - which can be provided at the right time and maintains high quality.”
• quality and accessibility in care»Svensk sjukvård ska präglas av kvalitet, tillgänglighet och« (party programme ↗)“Swedish healthcare shall be characterized by quality, accessibility and”

flags: citat_migrerat

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 requires that psychiatric resources be strengthened and that healthcare shall be reviewed and restructured so that patients are caught earlier. Concentrating treatment of harmful use and addiction with the regions' healthcare is such a structural reform that prevents people from falling between systems. The plan also wants a unified national strategy instead of short-term and individual initiatives.

• strengthened psychiatrydecisive»Stärka resurserna till psykiatrin« (2022 manifesto ↗)“Strengthen resources for psychiatry”
• restructured care chain»Därför behövs en översyn om hur hälso- och sjukvården kan omstruktureras för att tidigare fånga upp patienter som drabbas.« (2022 manifesto ↗)“Therefore, a review is needed of how healthcare can be restructured to catch patients suffering earlier.”
• national strategy for mental health»Ta fram en nationell strategi för det fortsatta arbetet med psykisk hälsa« (2022 manifesto ↗)“Develop a national strategy for the ongoing work on mental health”
• review of the organization of care»Se över sjukvårdens organisation« (2022 manifesto ↗)“Review the organization of healthcare”

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.