2025-06-042024/25:UbU11 · p.8UbUEducation
Student health
Staffing and access to student health services
What's at stake: The decision affects how quickly and easily pupils with mental or psychosocial ill-health can get help at school, which can matter greatly for children's and young people's health and their ability to cope with schooling.
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 student health services should be strengthened through binding staffing ratios - such as a cap on how many pupils each school counsellor and psychologist may be responsible for - or whether it is enough to await ongoing inquiries and the government's efforts in the area, as favoured by the committee.
Yes Yes — the committee proposal
The committee underscores the importance of student health services but does not want to pre-empt the ongoing inquiry into improved student health services, which is to propose, among other things, a student health guarantee and ways to strengthen its work. The committee therefore rejects the motions on staffing ratios and access.
No No — the reservations
Reservation 14 (MP)
The reserving party (MP) wants assessments of mental and psychosocial health included in student health services' general health checks to catch problems early, and wants every pupil to have access to a counsellor or psychologist within a reasonable time. The party wants to go further than an earlier inquiry's proposal and set a cap of 300 pupils per school counsellor and 500 per school psychologist, with more school doctors, psychologists, nurses and counsellors in schools.
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 14 by MP.
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: KDKristdemokraterna, VVänsterpartiet
Ja 203–15Ja 167–51
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 20/0/0/4 | differsagainst own programme | confidence: high | explicit |
| S | No | Yes 93/0/0/13 | differs | confidence: medium | not addressed |
| MP | No | No 0/15/0/3 | match | confidence: high | explicit |
| C | No | Abstain 0/0/21/3 | differs | confidence: medium | not addressed |
| L | No | Yes 13/0/0/3 | differs | confidence: medium | not addressed |
| KD | No | Yes 16/0/0/3 | differsagainst own programme | confidence: high | explicit |
| M | No | Yes 61/0/0/7 | differs | confidence: medium | not addressed |
| SD | No | Abstain 0/0/63/9 | differs | confidence: high | explicit |
Committee proposal
The Riksdag rejects the motions 2024/25:282 by Gudrun Brunegård (KD), 2024/25:1362 by Carina Ståhl Herrstedt et al. (SD) demand 11, 2024/25:3055 by Ulrika Westerlund et al. (MP) demand 24, 2024/25:3161 by Muharrem Demirok et al. (C) demands 23 and 25 and 2024/25:3217 by Amanda Lind et al. (MP) demands 66 and 68-70.
Original (Swedish)
Riksdagen avslår motionerna 2024/25:282 av Gudrun Brunegård (KD), 2024/25:1362 av Carina Ståhl Herrstedt m.fl. (SD) yrkande 11, 2024/25:3055 av Ulrika Westerlund m.fl. (MP) yrkande 24, 2024/25:3161 av Muharrem Demirok m.fl. (C) yrkandena 23 och 25 samt 2024/25:3217 av Amanda Lind m.fl. (MP) yrkandena 66 och 68-70.
Riksdag decision: The Riksdag rejected approximately 130 proposals in motions on teachers and students. The proposals were submitted during the general motion period 2024 and address, among other things, school personnel, safety and security, student health and students with special needs. The Riksdag refers to existing regulations, ongoing work and measures taken in these areas.
Counter-proposals
- The counter-proposal wants to introduce a school leadership salary initiative to improve rector salaries. (MP) — Reservation 14
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 requires investment in school health and social support in school and notes that poor mental health among young people is widespread.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto explicitly requires investment in school health and social support in school and notes that poor mental health among young people is widespread. The counter-proposal's demand for more counsellors, psychologists and school nurses and for mental health to be captured in health checks is exactly the expansion the plan seeks. The party programme also establishes that the school has the capacity to support each child.
Original (Swedish)
Valmanifestet kräver uttryckligen satsningar på elevhälsa och socialt stöd i skolan och konstaterar att den psykiska ohälsan bland unga är utbredd. Motförslagets krav på fler kuratorer, psykologer och skolsköterskor samt på att psykisk hälsa ska fångas upp i hälsokontroller är precis den utbyggnad planen efterfrågar. Partiprogrammet lägger dessutom fast att skolan ska ha kapacitet att stödja varje barn.
- investment in school healthdecisive»Det krävs satsningar inte bara på undervisning utan också på elevhälsa, specialpedagoger, fritidsverksamhet och socialt stöd.« (2022 manifesto ↗)“It requires investment not only in teaching but also in school health, special education teachers, leisure activities and social support.”
- poor mental health among young»Alltför många barn far illa idag och den psykiska ohälsan bland unga är utbredd.« (2022 manifesto ↗)“Far too many children are struggling today and poor mental health among young people is widespread.”
- school supports each child»och kapacitet att stödja varje barn under uppväxten. Den har en viktig« (party programme ↗)“and capacity to support each child during childhood. It has an important”
- early interventions for children»Vänsterpartiet vill se fler lärare, tidigare insatser för barn som har det kämpigt och förbättrad tillgång till lärande genom hela livet.« (2022 manifesto ↗)“The Left Party wants to see more teachers, earlier interventions for children who are struggling and improved access to learning throughout life.”
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 party programme promises ambitious efforts against mental ill-health especially among children and young people, and the election manifesto points to student health as part of the coordinated work around children.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme promises ambitious efforts against mental ill-health especially among children and young people, and the election manifesto points to student health as part of the coordinated work around children. The counter-proposal's requirement for mental assessments in health checks and guaranteed access to counsellor and psychologist is a direct application of that commitment. The plan sets no staffing numbers, but the direction towards more resources to schools and a strengthened compensatory mandate bears the position.
Original (Swedish)
Partiprogrammet lovar ambitiösa insatser mot psykisk ohälsa särskilt bland barn och unga, och valmanifestet pekar ut elevhälsan som en del av det samverkande arbetet kring barn. Motförslagets krav på psykiska bedömningar i hälsokontrollerna och garanterad tillgång till kurator och psykolog är en direkt tillämpning av det åtagandet. Planen sätter inga bemanningstal, men riktningen mot mer resurser till skolan och ett stärkt kompensatoriskt uppdrag bär ställningstagandet.
- efforts against mental ill-healthdecisive»Ambitiösa insatser mot psykisk ohälsa, särskilt bland barn och unga.« (party programme ↗)“Ambitious efforts against mental ill-health, especially among children and young people.”
- strengthened student health in cooperation»Det behövs mer samarbete mellan polis, elevhälsa, socialtjänst och skola.« (2022 manifesto ↗)“There is a need for more cooperation between police, student health, social services and schools.”
- more resources to schools»De mest utsatta skolorna och förskolorna måste få mer resurser.« (2022 manifesto ↗)“The most vulnerable schools and preschools must receive more resources.”
- school's compensatory mandate»Goda förutsättningar för skolan att klara sin kompensatoriska uppgift.« (party programme ↗)“Good preconditions for schools to fulfil their compensatory task.”
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 promises more school nurses, special educators, psychologists and counselors in school, which is exactly what the counter-proposal requires with its staffing caps.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto explicitly promises more school nurses, special educators, psychologists and counselors in school, which is exactly what the counter-proposal requires with its staffing caps. The plan additionally wants to increase access to care for mental health and emphasizes that school shall create conditions for mental health. Early interventions are according to the plan both humanly and economically more effective.
Original (Swedish)
Valmanifestet lovar uttryckligen fler skolsköterskor, specialpedagoger, psykologer och kuratorer i skolan, vilket är precis vad motförslaget kräver med sina bemanningstak. Planen vill dessutom öka tillgången till vård för psykisk ohälsa och betonar att skolan ska skapa förutsättningar för psykisk hälsa. Tidiga insatser är enligt planen både mänskligt och ekonomiskt effektivare.
- strengthened student welfare and more counselorsdecisive»förstärka elevhälsan och satsa på fler skolsköterskor, specialpedagoger, psykologer och kuratorer i skolan.« (2022 manifesto ↗)“strengthen student welfare and invest in more school nurses, special educators, psychologists and counselors in school.”
- school's responsibility for mental health»Skolan ska skapa förutsättningar för psykisk hälsa och välmående.« (party programme ↗)“School shall create conditions for mental health and well-being.”
- increased access in mental health»satsa på primärvården och öka tillgången till vård för psykisk ohälsa.« (2022 manifesto ↗)“invest in primary care and increase access to care for mental health.”
- early interventions pay off»Rätt stöd som sätts in i tid är både mänskligt och samhällsekonomiskt mer effektivt än stöd som kommer senare i livet.« (party programme ↗)“Right support that is provided in time is both humanly and socioeconomically more effective than support that comes later in life.”
The plan makes better student mental health an explicit prerequisite for a safe school and requires that children's and young people's mental illness is met early with simple pathways into care.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan makes better student mental health an explicit prerequisite for a safe school and requires that children's and young people's mental illness is met early with simple pathways into care. The counter-proposal's requirement for mental health assessment in school health checks and access to school counselors and psychologists follows directly from that commitment. The plan specifies no student-to-counselor ratios, but it uses staffing measures as a control tool elsewhere, so the ceiling does not contradict the direction.
Original (Swedish)
Planen gör en bättre elevhälsa till en uttrycklig förutsättning för en trygg skola och kräver att barns och ungas psykiska ohälsa möts tidigt med enkla vägar in i vården. Motförslagets krav på psykisk hälsobedömning i skolans hälsokontroller och tillgång till kurator och psykolog följer direkt av det åtagandet. Planen anger inga elevtal per kurator, men den använder på annat håll själv bemanningsmått som styrmedel, så taket strider inte mot linjen.
- better student mental healthdecisive»Skolan ska vara en trygg plats — fri från rasism, homofobi och trakasserier grundade på kön — där barn kan växa och utvecklas. En bättre elevhälsa är en förutsättning för det.« (2022 manifesto ↗)“School shall be a safe place — free from racism, homophobia, and harassment based on gender — where children can grow and develop. Better student mental health is a prerequisite for that.”
- strengthened school health and psychiatry»Samarbetet mellan elevhälsovården och primärvårdspsykiatrin måste öka och köerna till BUP kortas.« (2022 manifesto ↗)“Cooperation between school health services and primary care psychiatry must increase and waiting lists for child and adolescent psychiatric services must be shortened.”
- simple pathway for young people»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 should have a simple and unified pathway into care.”
- every child's right to knowledge»Alla barn har rätt att få de kunskaper som gör dem till delaktiga samhällsmedborgare.« (party programme ↗)“Every child has the right to gain the knowledge that makes them active citizens.”
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 establishes that mental ill-health shall be treated as equivalent to physical illness and that early interventions and follow-up are crucial for support to be put in place in time.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan establishes that mental ill-health shall be treated as equivalent to physical illness and that early interventions and follow-up are crucial for support to be put in place in time. It is moreover prepared to set concrete staffing targets in schools, such as funding for at least 1,000 more specialist teachers. The counter-proposal's demand for psychosocial assessments in health checks and guaranteed access to a counselor or psychologist therefore lies in line with the plan, even if the plan does not specify these student numbers.
Original (Swedish)
Planen slår fast att psykisk ohälsa ska behandlas som likvärdig med fysisk sjukdom och att tidiga insatser och uppföljning är avgörande för att stöd ska sättas in i tid. Den är dessutom beredd att sätta konkreta bemanningsmål i skolan, som finansiering av minst 1 000 fler speciallärare. Motförslagets krav på psykosociala bedömningar i hälsokontrollerna och garanterad tillgång till kurator eller psykolog ligger därför i linje med planen, även om planen inte anger just dessa elevtal.
- mental care equated with physicaldecisive»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 illnesses.”
- early detection and support»Utvärdering behövs för att mäta kunskap och garantera stöd och hjälp i tid.« (party programme ↗)“Evaluation is needed to measure knowledge and guarantee support and assistance in time.”
- staffing targets in schools»För att göra det möjligt skjuter vi till pengar för minst 1 000 fler speciallärare.« (2022 manifesto ↗)“To make this possible we are putting in money for at least 1,000 more specialist teachers.”
- early preventive interventions»Tidiga och förebyggande insatser är avgörande.« (party programme ↗)“Early and preventive interventions 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.
The election manifesto promises greatly strengthened school health with a comprehensive child and youth health service, which is precisely what the counter-proposal demands in substance.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto promises greatly strengthened school health with a comprehensive child and youth health service, which is precisely what the counter-proposal demands in substance. The party programme places particular emphasis on swift and accessible expertise for children and young people with mental ill-health, which supports the requirement for psychosocial assessments and access to counsellor and psychologist. Staffing cap is a detailed instrument that the plan does not specify, but the direction is the same.
Original (Swedish)
Valmanifestet utlovar kraftigt stärkt elevhälsa med en sammanhållen barn- och ungdomshälsovård, vilket är precis vad motförslaget kräver i sak. Principprogrammet lägger särskild vikt vid snabb och tillgänglig kompetens för barn och unga med psykisk ohälsa, vilket bär kravet på psykosociala bedömningar och tillgång till kurator och psykolog. Bemanningstak är ett detaljerat medel som planen inte anger, men riktningen är densamma.
- greatly strengthened school healthdecisive»Kraftigt stärkt elevhälsa med en sammanhållen barn- och ungdomshälsovård och föräldrastödsprogram som erbjuds alla föräldrar.« (2022 manifesto ↗)“Greatly strengthened school health with a comprehensive child and youth health service and parental support programmes offered to all parents.”
- swift help with mental ill-health»Särskild vikt ska läggas vid snabb och tillgänglig kompetens för barn och ungdom med psykisk ohälsa.« (party programme ↗)“Particular emphasis shall be placed on swift and accessible expertise for children and young people with mental ill-health.”
- 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 the patient's needs.”
- prioritization of children»Vi prioriterar samhällets äldsta och yngsta, dem som inte längre orkar höja sin röst eller ännu inte lärt sig att använda den.« (2022 manifesto ↗)“We prioritize society's oldest and youngest, those who no longer have the strength to raise their voice or have not yet learned to use it.”
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 promises a statutory care guarantee for children and that children with poor mental health should receive help within a specified time, which in substance is the same requirement as the counter-proposal's early detection of mental illness and access to a counselor or psychologist within reasonable time.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan promises a statutory care guarantee for children and that children with poor mental health should receive help within a specified time, which in substance is the same requirement as the counter-proposal's early detection of mental illness and access to a counselor or psychologist within reasonable time. The plan also emphasizes early interventions in schools for students who have it hardest. However, the plan says nothing about staffing limits per counselor or psychologist, so the support concerns the purpose of the demand rather than the exact staffing norm.
Original (Swedish)
Planen lovar en lagstadgad vårdgaranti för barn och att barn som mår psykiskt dåligt ska få hjälp inom bestämd tid, vilket i sak är samma krav som motförslagets om tidig upptäckt av psykisk ohälsa och tillgång till kurator eller psykolog inom rimlig tid. Planen betonar också tidiga insatser i skolan för de elever som har det svårast. Däremot säger planen inget om bemanningstak per kurator eller psykolog, så stödet gäller kravets syfte snarare än den exakta normeringen.
- statutory care guarantee for childrendecisive»Införa en ny lagstadgad vårdgaranti för barn« (2022 manifesto ↗)“Introduce a new statutory care guarantee for children”
- help within specified time»Moderaterna vill lagstifta om att barn som mår psykiskt dåligt och behöver hjälp och stöd ska få det inom maximalt 30 dagar« (2022 manifesto ↗)“The Moderate Party wants to legislate that children with poor mental health who need help and support should receive it within a maximum of 30 days”
- strengthened child and adolescent 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 with poor mental health get help quickly”
- early interventions in schools»Forskning pekar på att tidiga insatser är avgörande för att höja kunskapsresultaten.« (2022 manifesto ↗)“Research shows that early interventions are crucial for improving knowledge outcomes.”
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 establishes that student health must be significantly strengthened and that school is the most important arena for early detection of mental ill health.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan establishes that student health must be significantly strengthened and that school is the most important arena for early detection of mental ill health. The counter-proposal's requirement for mental health assessment in health checks and for more counsellors and psychologists per student is a direct application of that commitment. The plan also wants treatment expertise to be available on site in schools to shorten queues to child and adolescent psychiatry.
Original (Swedish)
Planen slår fast att elevhälsan kraftigt ska förstärkas och att skolan är den viktigaste arenan för att tidigt upptäcka psykisk ohälsa. Motförslagets krav på psykisk hälsobedömning i hälsokontrollerna och på fler kuratorer och psykologer per elev är en direkt tillämpning av det åtagandet. Planen vill dessutom att behandlingskompetens ska finnas på plats i skolan för att korta köerna till BUP.
- strengthened student healthdecisive»Kraftigt förstärka elevhälsan« (2022 manifesto ↗)“Significantly strengthen student health”
- school as preventive arena»Sverigedemokraterna vill stärka elevhälsan då vi anser att skolan är en viktig arena för förebyggande insatser.« (2022 manifesto ↗)“Sweden Democrats want to strengthen student health as we believe school is an important arena for preventive efforts.”
- treatment expertise in school»Långa köer till BUP kan motverkas om behandlingskompetens i högsta utsträckning kan finnas tillgänglig på plats i våra skolor.« (2022 manifesto ↗)“Long queues to child and adolescent psychiatry can be countered if treatment expertise to the greatest extent can be available on site in our schools.”
- early detection of ill health»Tidigt upptäcka och behandla psykisk ohälsa« (2022 manifesto ↗)“Early detect and treat mental ill health”
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.
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Sources and documents
- The committee report on riksdagen.se (2024/25:UbU11)
- Committee report full text (HC01UbU11)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2024/25:1059 — Införande av rätten till punktskrift i skollagen av Christofer Bergenblock (C)
- Motion 2024/25:1086 — Särskilt begåvade barns möjligheter i skolan av Helena Storckenfeldt (M)
- Motion 2024/25:1126 — Stärkta rättigheter för elever i behov av särskilt stöd av Joanna Lewerentz och Caroline Högström (båda M)
- Motion 2024/25:1131 — Minskad belastning för skolkuratorer av Joanna Lewerentz (M)
- Motion 2024/25:1133 — Registerkontroll inom skola och barnomsorg av Christian Carlsson (KD)
- Motion 2024/25:1289 — Rätten till assistans för barn med diabetes i skolan och förskolan av Anna-Lena Hedberg (SD)
- Motion 2024/25:1341 — Friluftsliv för folkhälsan av Anna-Lena Hedberg m.fl. (SD)
- Motion 2024/25:1362 — En stärkt psykisk hälsa i hela landet av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1366 — Socialtjänsten av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1444 — Förutsättningar för en grundskola i världsklass av Patrick Reslow m.fl. (SD)
- Motion 2024/25:1446 — En gymnasieskola och vuxenutbildning i världsklass av Patrick Reslow m.fl. (SD)
- Motion 2024/25:1447 — En grundskola i världsklass av Patrick Reslow m.fl. (SD)
- Motion 2024/25:1448 — En förskola i världsklass av Patrick Reslow m.fl. (SD)
- Motion 2024/25:1514 — Skolfrukost av Malin Larsson och Peder Björk (båda S)
- Motion 2024/25:1524 — Utökad satsning på läsinlärning genom stärkt lärarkompetens av Lars Isacsson (S)
- Motion 2024/25:1677 — Betygsättning på elever med skyddad identitet av Ludvig Ceimertz och Ann-Charlotte Hammar Johnsson (båda M)
- Motion 2024/25:1726 — Utökat stöd i skolan till barn med neuropsykiatrisk funktionsnedsättning av Julia Kronlid (SD)
- Motion 2024/25:1761 — Hjälpmedel vid nationella prov för elever med dyslexi av Eva Lindh (S)
- Motion 2024/25:179 — Menssäkra skolor - en självklarhet för allas trygghet och hälsa av Anna Wallentheim (S)
- Motion 2024/25:1822 — Stärkt friluftsliv i skolan och inom fritidshem av Emma Ahlström Köster m.fl. (M)
Source: The Swedish Parliament