2026-02-172025/26:SoU14 · p.4SoUHealth & social services
Safe medication use and follow-up
Follow-up of psychiatric drug prescribing and patient safety
What's at stake: The question concerns patient safety in the prescribing of medicines for mental health conditions, including whether medication is used instead of other treatments due to a lack of resources, and whether patients who want to taper off medication receive adequate support. It particularly concerns prescribing to children and young people.
Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.
What the vote decides
The motions demanded, among other things, a national review of how the prescribing of psychiatric drugs has developed and support for tapering off medication, while the committee held that an already ongoing state inquiry into prescribing rights and oversight covers the need.
Yes Yes — the committee proposal
The committee rejects the motions, pointing to an ongoing state inquiry into documentation, limitations and oversight of medicine prescribing that is to analyze both the advantages and disadvantages of unrestricted prescribing rights and their impact on patient safety, as well as a national medicines strategy that already aims for equitable, safe and appropriate use of medicines.
No No — the reservations
Reservation 9 (V)
The reserving party (V) wants the government to have it investigated how the follow-up of medication and patient safety in psychiatry can be improved, how the prescribing of psychiatric drugs has developed over a ten-year period, and how tapering off medication for mental health conditions can be improved so that no patient is forced to forgo a medically justified discontinuation due to a lack of healthcare resources.
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 9 by V.
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.
| Plan | Vote | Confidence | Evidence | ||
|---|---|---|---|---|---|
| V | No | No 0/19/0/3 | follows the plan | confidence: medium | not addressed |
| S | No | Yes 92/0/0/14 | departs from the plan | confidence: medium | not addressed |
| MP | No | Yes 16/0/0/2 | departs from the plan | confidence: medium | not addressed |
| C | No | Yes 21/0/0/3 | departs from the plan | confidence: medium | not addressed |
| L | No | Yes 14/0/0/2 | departs from the plan | confidence: medium | not addressed |
| KD | No | Yes 17/0/0/2 | departs from the plan | confidence: medium | not addressed |
| M | No | Yes 59/0/0/9 | departs from the plan | confidence: low | not addressed |
| SD | No | Yes 62/0/0/9 | departs from the plan | confidence: medium | not addressed |
Committee proposal
The Riksdag rejects the motions 2025/26:229 by Johnny Svedin (SD) motions 1 and 2, 2025/26:233 by Johnny Svedin (SD), 2025/26:239 by Johnny Svedin (SD), 2025/26:2777 by Nooshi Dadgostar et al. (V) motions 28-32, 2025/26:2799 by Karin Rågsjö et al. (V) motion 19 and 2025/26:2942 by Marléne Lund Kopparklint (M).
Original (Swedish)
Riksdagen avslår motionerna 2025/26:229 av Johnny Svedin (SD) yrkandena 1 och 2, 2025/26:233 av Johnny Svedin (SD), 2025/26:239 av Johnny Svedin (SD), 2025/26:2777 av Nooshi Dadgostar m.fl. (V) yrkandena 28-32, 2025/26:2799 av Karin Rågsjö m.fl. (V) yrkande 19 och 2025/26:2942 av Marléne Lund Kopparklint (M).
Riksdag decision: The Riksdag rejected 93 proposals in motions on medication and dental care. The proposals were submitted during the general motion period of 2025 and concern, among other things, prescriptions, review of the pharmacy market, and dental care. The Riksdag refers, among other things, to the fact that work is ongoing on the matters addressed by the proposals.
Counter-proposals
- The counter-proposal wants to expand prescribing rights to cover more professional groups in healthcare. (V) — Reservation 9
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 plan states that mental ill-health increases without leading to expanded care and that you should have the right to help quickly regardless of whether you have broken your leg or been burned out.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan states that mental ill-health increases without leading to expanded care and that you should have the right to help quickly regardless of whether you have broken your leg or been burned out. The counter-proposal's demand for scrutiny of medication and patient safety within psychiatry and better support with tapering respond to that, as does the plan's demand that care be built on evidence and prioritized according to need. That resource shortage determines whether a reduction can be carried out conflicts with the plan's principle of care according to need.
Original (Swedish)
Planen slår fast att psykisk ohälsa ökar utan att leda till utbyggd vård och att man ska ha rätt till hjälp snabbt oavsett om man brutit benet eller blivit utbränd. Motförslagets krav på granskning av medicinering och patientsäkerhet inom psykiatrin och bättre stöd vid nedtrappning svarar mot det, liksom mot planens krav på att vården ska bygga på evidens och prioriteras utifrån behov. Att resursbrist avgör om en utsättning kan genomföras strider mot planens princip om vård efter behov.
- mental ill-health requires expanded caredecisive»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 become ever more common and mental ill-health increases particularly among women and in young people without it leading to expanded care or changed working environment.”
- mental care equals physical care»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 regardless of whether you have broken your leg or been burned out.”
- evidence and need-based prioritization»evidens och prioriteras utifrån behov.« (party programme ↗)“evidence and prioritized according to need.”
- 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 the capacity in incorrectly constructed systems.”
The party programme requires ambitious efforts against mental ill-health and healthcare in the medical and scientific forefront where all have equal right to good care.
Plan documents: party programme
Reasoning and quotes
The party programme requires ambitious efforts against mental ill-health and healthcare in the medical and scientific forefront where all have equal right to good care. Following up medication within psychiatry and securing support in dose reduction is a direct application of that commitment, since insufficient resources would otherwise steer treatment instead of patient need. The plan therefore supports the counter-proposal's requirement.
Original (Swedish)
Partiprogrammet kräver ambitiösa insatser mot psykisk ohälsa och en sjukvård i medicinsk framkant där alla har lika rätt till god vård. Att följa upp medicineringen inom psykiatrin och säkra stöd vid nedtrappning är en direkt tillämpning av det åtagandet, eftersom bristande resurser annars styr behandlingen i stället för patientens behov. Planen stöder därför motförslagets krav.
- efforts against mental ill-healthdecisive»Ambitiösa insatser mot psykisk ohälsa, särskilt bland barn och unga.« (party programme ↗)“Ambitious efforts against mental ill-health, particularly among children and young people.”
- care according to need»Lika rätt för alla till god hälso- och sjukvård genom samhällets försorg.« (party programme ↗)“Equal right for all to good health and medical care through public provision.”
- knowledge-based care»Sjukvård i teknisk och medicinsk framkant.« (party programme ↗)“Healthcare in technical and medical forefront.”
- accessible healthcare»God tillgänglighet i vården.« (party programme ↗)“Good accessibility in 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.
The plan establishes that mental health should be prioritized equally with physical health and that care for mental ill health should become more accessible and individually tailored.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan establishes that mental health should be prioritized equally with physical health and that care for mental ill health should become more accessible and individually tailored. Examining the monitoring of psychopharmaceuticals and ensuring support during tapering is precisely a matter of no patient falling through due to lack of resources. The plan also emphasizes that those with the greatest need should be prioritized.
Original (Swedish)
Planen slår fast att psykisk hälsa ska vara lika prioriterad som fysisk och att vården för psykisk ohälsa ska bli mer tillgänglig och individanpassad. Att granska uppföljningen av psykofarmaka och säkra stöd vid nedtrappning är just en fråga om att ingen patient ska falla ifrån på grund av bristande resurser. Planen betonar också att de med störst behov ska prioriteras.
- mental health equally prioritizeddecisive»Miljöpartiet vill skapa ett samhälle där psykisk hälsa är lika prioriterad som fysisk hälsa.« (party programme ↗)“The Green Party wants to create a society where mental health is prioritized equally with physical health.”
- increased access to psychiatric care»satsa på primärvården och öka tillgången till vård för psykisk ohälsa.« (2022 manifesto ↗)“invest in primary care and increase access to care for mental ill health.”
- care based on need»Människor med störst behov ska prioriteras.« (party programme ↗)“People with the greatest need should be prioritized.”
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 requires that psychiatry be improved for both young and old and that healthcare receive better tools for treatment.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto requires that psychiatry be improved for both young and old and that healthcare receive better tools for treatment. The counter-proposal's requirement for review of medication and patient safety in psychiatry and better support during de-escalation of psychopharmaceuticals is a direct implementation of that commitment. The party programme also requires care based on science and proven experience, which presupposes monitoring of prescribing.
Original (Swedish)
Valmanifestet kräver att psykiatrin förbättras för såväl unga som äldre och att vården får bättre verktyg för behandling. Motförslagets krav på granskning av medicinering och patientsäkerhet inom psykiatrin och på bättre stöd vid nedtrappning av psykofarmaka är en direkt tillämpning av det åtagandet. Partiprogrammet kräver dessutom vård baserad på vetenskap och beprövad erfarenhet, vilket förutsätter uppföljning av förskrivningen.
- improved psychiatrydecisive»Psykiatrin måste förbättras för såväl unga som äldre. 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 ↗)“Psychiatry must be improved for both young and old. Those seeking support should be met with a unified and simple pathway into care and offered better self-care while waiting for treatment.”
- better treatment tools»Vi vill att den som söker vård ska erbjudas en enkel väg in för stöd och hjälp, att vården ska få bättre verktyg för behandling och att sjukskrivningen ska bli mer flexibel.« (2022 manifesto ↗)“We want those seeking care to be offered a simple pathway for support and help, healthcare to have better treatment tools and sick leave to become more flexible.”
- care on a scientific basis»God vård och omsorg i hela landet, baserad på vetenskap och beprövad erfarenhet, är viktigt för den enskilda« (party programme ↗)“Good care and healthcare throughout the country, based on science and proven experience, is important for the individual”
- research on mental health»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 health and strengthen gender medicine expertise in 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.
The party programme requires that all treatment of mental illness must be covered by the patient safety law and that care and treatment must be given on a scientific basis.
Plan documents: party programme
Reasoning and quotes
The party programme requires that all treatment of mental illness must be covered by the patient safety law and that care and treatment must be given on a scientific basis. Examining the follow-up of medication in psychiatry, investigating psychopharmaca prescribing and strengthening support during dose reduction follow from these commitments. The plan's requirement for patient participation in their own care points in the same direction.
Original (Swedish)
Partiprogrammet kräver att all behandling av psykisk ohälsa ska omfattas av patientsäkerhetslagen och att vård och behandling ges på vetenskaplig grund. Att granska uppföljningen av medicinering i psykiatrin, utreda psykofarmakaförskrivningen och stärka stödet vid nedtrappning följer av dessa åtaganden. Planens krav på patientens delaktighet i den egna vården pekar åt samma håll.
- patient safety in psychiatrydecisive»Även all behandling av psykisk ohälsa ska omfattas av patientsäkerhetslagen.« (party programme ↗)“All treatment of mental illness must also be covered by the patient safety law.”
- scientific basis in care»Vård, behandling och rehabilitering av fysiska och psykiska sjukdomar ska ges på vetenskaplig grund.« (party programme ↗)“Care, treatment and rehabilitation of physical and mental illnesses must be given on a scientific basis.”
- patient participation»Patienten ska ha rätt att vara delaktig i utformningen av den egna vården och därmed ha rätt till en hälso- och sjukvård som i högre utsträckning tar hänsyn till hens önskemål och förmågor.« (party programme ↗)“The patient must have the right to participate in shaping their own care and thus have the right to healthcare that to a greater extent takes their wishes and capabilities into account.”
- mental healthcare equalized»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.”
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 healthcare is safe for patients and based on knowledge and proven experience, and that psychiatric care is characterized by accessibility and flexibility according to the patient's needs.
Plan documents: party programme
Reasoning and quotes
The party programme requires that healthcare is safe for patients and based on knowledge and proven experience, and that psychiatric care is characterized by accessibility and flexibility according to the patient's needs. Reviewing the monitoring of medication in psychiatry, investigating the prescribing of psychopharmaceuticals and improving support during dose reduction are measures for precisely that patient safety. That no one should be forced to abstain from a medically defensible dose reduction due to lack of resources follows from the patient's right to influence their treatment.
Original (Swedish)
Partiprogrammet kräver att vården är säker för patienterna och baserad på kunskap och beprövad erfarenhet, och att psykiatrisk vård präglas av tillgänglighet och flexibilitet utifrån patientens behov. Att granska uppföljningen av medicinering inom psykiatrin, utreda förskrivningen av psykofarmaka och förbättra stödet vid nedtrappning är åtgärder för just den patientsäkerheten. Att ingen ska tvingas avstå en medicinskt försvarbar utsättning på grund av resursbrist följer av patientens rätt att påverka sin behandling.
- safe and evidence-based caredecisive»Den solidariskt finansierade hälso- och sjukvården ska vara ändamålsenlig och kostnadseffektiv, säker för patienterna och baserad på kunskap och beprövad erfarenhet, det vill säga evidensbaserad.« (party programme ↗)“The solidarily financed healthcare shall be purposeful and cost-effective, safe for patients and based on knowledge and proven experience, that is evidence-based.”
- psychiatric care according to need»Psykiatrisk vård och omsorg ska präglas av tillgänglighet och flexibilitet utifrån patientens behov.« (party programme ↗)“Psychiatric care and treatment shall be characterized by accessibility and flexibility according to the patient's needs.”
- patient influence over treatment»Att som patient få tillgång till information, kunna påverka vård och behandling, att få rätt vård i rätt tid och ett bra bemötande av vårdpersonalen ger förutsättningar för respekt och tillit.« (party programme ↗)“As a patient, having access to information, being able to influence care and treatment, receiving the right care at the right time and good treatment from healthcare staff provides conditions for respect and trust.”
- protection from malpractice»Ett försäkringssystem ska finnas för medicinskt felbehandlade patienter.« (party programme ↗)“An insurance system shall exist for medically malpracticed patients.”
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 healthcare shall be characterised by quality and that psychiatry shall be strengthened so that children and young people who are struggling get help quickly, and that diagnostics be improved through structured methods.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan requires that healthcare shall be characterised by quality and that psychiatry shall be strengthened so that children and young people who are struggling get help quickly, and that diagnostics be improved through structured methods. A review of the monitoring of medication and the prescribing of psychopharmaceuticals, with better support for discontinuation, is a quality and patient safety matter within precisely that area. The plan, however, does not explicitly mention medication monitoring.
Original (Swedish)
Planen kräver att sjukvården ska präglas av kvalitet och att psykiatrin ska stärkas så att barn och unga som mår dåligt får hjälp snabbt, samt att diagnostiken förbättras genom strukturerade arbetssätt. En granskning av uppföljningen av medicinering och av förskrivningen av psykofarmaka, med bättre stöd vid nedtrappning, är en kvalitets- och patientsäkerhetsfråga inom just det området. Planen nämner dock inte läkemedelsuppföljning uttryckligen.
- quality in healthcaredecisive»Svensk sjukvård ska präglas av kvalitet, tillgänglighet och« (party programme ↗)“Swedish healthcare shall be characterised by quality, accessibility and”
- strengthened psychiatry»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”
- structured methods in healthcare»Förbättra möjligheterna att ställa tidigare diagnoser, bland annat med hjälp av digitala beslutsstöd och strukturerade arbetssätt med till exempel riskprofilering« (2022 manifesto ↗)“Improve the opportunities to make earlier diagnoses, among other things with the help of digital decision support and structured methods such as risk profiling”
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 wants effective treatment measures such as talk therapy to be offered to a greater extent instead of risking that mental health worsens, and that patient follow-up shall be a matter of course in the care process.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan wants effective treatment measures such as talk therapy to be offered to a greater extent instead of risking that mental health worsens, and that patient follow-up shall be a matter of course in the care process. It also wants to strengthen psychiatric resources and establish a national research programme on mental health. Reviewing the follow-up of psychopharmacology and improving support during tapering directly align with these commitments.
Original (Swedish)
Planen vill att effektiva behandlingsåtgärder som samtalsterapi i högre grad ska erbjudas i stället för att den psykiska hälsan riskerar att försämras, och att uppföljning av patienter ska vara en självklar del av vårdprocessen. Den vill dessutom stärka psykiatrins resurser och inrätta ett nationellt forskningsprogram om psykisk hälsa. Att granska uppföljningen av psykofarmaka och förbättra stödet vid nedtrappning ligger direkt i linje med dessa åtaganden.
- therapy as treatment optiondecisive»Effektiva behandlingsåtgärder, i form av exempelvis samtalsterapi, bör i högre grad erbjudas för att den psykiska hälsan hos patienten inte ska riskera att försämras.« (2022 manifesto ↗)“Effective treatment measures, such as for example talk therapy, should to a greater extent be offered so that the patient's mental health does not risk worsening.”
- follow-up in care process»Uppföljning av patienter med suicidalt beteende bör också vara en självklar del av vårdprocessen.« (2022 manifesto ↗)“Follow-up of patients with suicidal behaviour should also be a matter of course in the care process.”
- resources for psychiatry»Stärka resurserna till psykiatrin« (2022 manifesto ↗)“Strengthen resources for psychiatry”
- research on mental health»Inrätta ett nationellt forskningsprogram inom området psykisk hälsa« (2022 manifesto ↗)“Establish a national research programme in the field of 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
- The committee report on riksdagen.se (2025/26:SoU14)
- Committee report full text (HD01SoU14)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2025/26:1067 — Jämlik tandvård och tryggad kompetensförsörjning av Carina Ödebrink m.fl. (S)
- Motion 2025/26:108 — Miljömärkning av läkemedel av Björn Tidland (SD)
- Motion 2025/26:1083 — Ökad samhällskontroll av välfärden av Markus Kauppinen m.fl. (S)
- Motion 2025/26:1137 — Tandvårdskostnader av Martina Johansson (C)
- Motion 2025/26:1154 — En tandvård utifrån behov av Hanna Westerén (S)
- Motion 2025/26:1159 — Säkerställ rätt till läkemedel för personer med sällsynta hälsotillstånd av Adrian Magnusson (S)
- Motion 2025/26:1266 — En svensk tandvårdsreform av Louise Thunström m.fl. (S)
- Motion 2025/26:1308 — Regelverket kring bolagskoncerner vid ägande av appläkartjänster, apotek och vårdcentraler av Johan Löfstrand m.fl. (S)
- Motion 2025/26:1370 — Likvärdiga förutsättningar för tandvårdsaktörer av Peter Hedberg m.fl. (S)
- Motion 2025/26:1414 — Kostnadsfri tandvård t.o.m. 23 års ålder av Åsa Karlsson och Helén Pettersson (båda S)
- Motion 2025/26:1424 — Tandhälsa av Åsa Karlsson och Isak From (båda S)
- Motion 2025/26:1438 — Rättvis och tillgänglig tandvård för hela svenska folket av Patrik Lundqvist m.fl. (S)
- Motion 2025/26:1581 — Integrerad tandvård i sjukvården av Anders Ekegren (L)
- Motion 2025/26:164 — En ersättningsmodell som stimulerar privattandläkare att etablera sig där behoven är som störst av Eric Palmqvist (SD)
- Motion 2025/26:1685 — Förfalskade läkemedel av Margareta Cederfelt (M)
- Motion 2025/26:1694 — Folktandvårdsklinikers redovisning av kostnader för papperslösas och asylsökandes tandvård av Staffan Eklöf (SD)
- Motion 2025/26:1837 — En tandvårdsreform som gör tandvården ekonomiskt tillgänglig för alla av Johanna Haraldsson m.fl. (S)
- Motion 2025/26:1981 — Sjukvård och tandvård för alla av Sten Bergheden (M)
- Motion 2025/26:2138 — Minskat medicinslöseri av Sten Bergheden (M)
- Motion 2025/26:2169 — Tandvårdskostnader för asylsökande och tillfälliga besökare av Sten Bergheden (M)
Source: The Swedish Parliament