2024-06-182023/24:SoU14 · p.11SoUHealth & social services
Children's and young people's mental health
Children's and young people's mental health
What's at stake: The decision affects how quickly and how well-coordinated help is for children and young people with mental ill health across services such as child and adolescent psychiatry, social services, preschool and student health, and how clearly their right to interventions within a set time is regulated.
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's ongoing efforts on children's and young people's mental health - including the strengthened care guarantee for child and adolescent psychiatry - are sufficient, or whether the government should instead develop national, cross-sector care pathways and treatment packages with clear time limits for interventions.
Yes Yes — the committee proposal
The committee sees no reason to take any initiatives in response to the motions on children's and young people's mental health, pointing to ongoing efforts on mental health and suicide prevention and the strengthened care guarantee for child and adolescent psychiatry, and therefore rejects the motions.
No No — the reservations
Reservation 21 (SD)
The reservation calls for the government to promptly develop national care pathways and treatment packages for children and young people that specify which interventions the target group should receive and within what time frame, and that coordinate services such as child and adolescent psychiatry, social services, preschool or primary school, and student health.
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 21 by SD.
Abstain The party marks a position of its own that is not one of the two final alternatives.
The decision would have gone the other way
Explicit commitments that contradicted the vote: CCenterpartiet, KDKristdemokraterna, MModeraterna
Ja 109–64Nej 13–161
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 | Abstain 0/0/20/4 | differs | confidence: medium | derived |
| S | No | Abstain 0/0/93/13 | differs | confidence: medium | derived |
| MP | No | Abstain 0/0/15/3 | differs | confidence: high | explicit |
| C | No | Yes 20/0/1/3 | differsagainst own programme | confidence: high | explicit |
| 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 60/0/0/8 | differsagainst own programme | confidence: high | explicit |
| SD | No | No 0/63/0/9 | match | confidence: high | explicit |
Broke with the party line
| CEmelie Nyman (C, Malmö kommun) | Abstain — party line: Yes |
MPs whose vote differs from their party's majority position in this division. Marked with a dark ring in the chamber view.
Committee proposal
Parliament rejects the motions 2023/24:465 by Karin Rågsjö et al. (V) demands 3 and 6, 2023/24:1048 by Lili André (KD) demand 1, 2023/24:1959 by Johan Büser and Amalia Rud Pedersen (both S), 2023/24:2017 by Sanna Backeskog (S), 2023/24:2069 by Carina Ståhl Herrstedt et al. (SD) demand 9, 2023/24:2451 by Camilla Hansén et al. (MP) demand 48, 2023/24:2544 by Adrian Magnusson et al. (S), 2023/24:2617 by Fredrik Lundh Sammeli et al. (S) demands 41 and 42, 2023/24:2668 by Leila Ali Elmi et al. (MP) demands 1 and 2 and 2023/24:2669 by Märta Stenevi et al. (MP) demands 8 and 9.
Original (Swedish)
Riksdagen avslår motionerna 2023/24:465 av Karin Rågsjö m.fl. (V) yrkandena 3 och 6, 2023/24:1048 av Lili André (KD) yrkande 1, 2023/24:1959 av Johan Büser och Amalia Rud Pedersen (båda S), 2023/24:2017 av Sanna Backeskog (S), 2023/24:2069 av Carina Ståhl Herrstedt m.fl. (SD) yrkande 9, 2023/24:2451 av Camilla Hansén m.fl. (MP) yrkande 48, 2023/24:2544 av Adrian Magnusson m.fl. (S), 2023/24:2617 av Fredrik Lundh Sammeli m.fl. (S) yrkandena 41 och 42, 2023/24:2668 av Leila Ali Elmi m.fl. (MP) yrkandena 1 och 2 samt 2023/24:2669 av Märta Stenevi m.fl. (MP) yrkandena 8 och 9.
Riksdag decision: Parliament rejected approximately 100 proposals in motions on healthcare organization from the general motion period of 2023. The motions address, for example, healthcare organization and management, privatization and patient choice, accessible and equitable care, and mental health. Parliament refers to, among other things, that work is already underway in the areas the motions address.
Counter-proposals
- The counter-proposal wants to establish a national council for mental health and strengthen primary care with psychiatric expertise. (SD) — Reservation 21
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 requires investments in school health services and social support and establishes that you should have the right to help quickly whether you have broken a bone or become burnt out.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto requires investments in school health services and social support and establishes that you should have the right to help quickly whether you have broken a bone or become burnt out. It also criticizes that care has been fragmented between levels and actors so that people are passed around. The counter-proposal's flow programme, which specifies what interventions children should receive within what timeframe and coordinates child psychiatry, social services and school health services, responds to both of these demands.
Original (Swedish)
Valplattformen kräver satsningar på elevhälsa och socialt stöd och slår fast att man ska ha rätt till hjälp snabbt oavsett om man brutit benet eller blivit utbränd. Den kritiserar också att vården styckats upp mellan nivåer och aktörer så att människor bollas runt. Motförslagets flödesprogram, som anger vilka insatser barn ska få inom vilken tid och samordnar BUP, socialtjänst och elevhälsa, svarar mot båda dessa krav.
- quick right to caredecisive»Du ska ha rätt till hjälp snabbt oavsett om du har brutit benet eller blivit utbränd.« (2022 manifesto ↗)“You shall have the right to help quickly whether you have broken a bone or become burnt out.”
- coordinated care chain»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 nursing have been fragmented, between levels and actors, people are passed around in a large administrative apparatus and it is often a struggle for the individual and their relatives to get proper access to care.”
- investments in school health»Det krävs satsningar inte bara på undervisning utan också på elevhälsa, specialpedagoger, fritidsverksamhet och socialt stöd.« (2022 manifesto ↗)“Investments are required not only in teaching but also in school health services, special education teachers, recreational activities and social support.”
- broad investment in care»investera brett i vården så att den håller hög kvalitet i alla delar.« (party programme ↗)“invest broadly in care so that it maintains high quality in all parts.”
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 states that no one should have to worry about getting treatment in time and that care shall be offered in another region if the care guarantee is not met, and that cooperation between school, school health and social services needs to increase.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto states that no one should have to worry about getting treatment in time and that care shall be offered in another region if the care guarantee is not met, and that cooperation between school, school health and social services needs to increase. National flow programmes that specify what measures children and young people shall receive and within what timeframe, with coordination between child and adolescent psychiatry, social services and school, is an application of these commitments. The plan therefore speaks for the counter-proposal.
Original (Swedish)
Valmanifestet slår fast att ingen ska behöva känna oro över att få vård i tid och att vård ska erbjudas i en annan region om vårdgarantin inte uppfylls, samt att samarbetet mellan skola, elevhälsa och socialtjänst behöver öka. Nationella flödesprogram som anger vilka insatser barn och unga ska få och inom vilken tid, med samordning mellan BUP, socialtjänst och skola, är en tillämpning av dessa åtaganden. Planen talar därför för motförslaget.
- care guarantee with time limitsdecisive»Om en region inte uppfyller vårdgarantin enligt lagen ska vård erbjudas i en annan region.« (2022 manifesto ↗)“If a region does not meet the care guarantee under the law care shall be offered in another region.”
- care in time»Ingen ska behöva känna oro över att få vård i tid.« (2022 manifesto ↗)“No one should have to worry about getting treatment in time.”
- coordination around children and 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 care throughout the country»Alla invånare i hela landet ska ha likvärdig tillgång till skola, vård och omsorg.« (party programme ↗)“All inhabitants throughout the country shall have equivalent access to school, health and care services.”
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 explicitly requires active collaboration between student health, parents, primary care, youth clinics and child and adolescent psychiatry, which is precisely the coordination that the counter-proposal's flow programme should achieve.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme explicitly requires active collaboration between student health, parents, primary care, youth clinics and child and adolescent psychiatry, which is precisely the coordination that the counter-proposal's flow programme should achieve. The election manifesto also commits to strengthening student health and increasing access to care for mental illness. The plan also wants quality treatment to be offered at an early stage, which supports the requirement for clear time limits for interventions.
Original (Swedish)
Partiprogrammet kräver uttryckligen en aktiv samverkan mellan elevhälsa, föräldrar, primärvård, ungdomsmottagning och psykiatri för barn och unga, vilket är just den samordning motförslagets flödesprogram ska åstadkomma. Valmanifestet åtar sig dessutom att förstärka elevhälsan och öka tillgången till vård för psykisk ohälsa. Planen vill också att behandling av god kvalitet erbjuds i ett tidigt skede, vilket bär kravet på tydliga tidsgränser för insatserna.
- collaboration on children's mental healthdecisive»För barn och unga krävs det en aktiv samverkan mellan elevhälsa, föräldrar, primärvård, ungdomsmottagning och psykiatri.« (party programme ↗)“For children and young people, active collaboration is required between student health, parents, primary care, youth clinics and child and adolescent psychiatry.”
- strengthened student health»förstärka elevhälsan och satsa på fler skolsköterskor, specialpedagoger, psykologer och kuratorer i skolan.« (2022 manifesto ↗)“strengthen student health and invest in more school nurses, special education teachers, psychologists and counsellors in school.”
- more care for mental illness»satsa på primärvården och öka tillgången till vård för psykisk ohälsa.« (2022 manifesto ↗)“invest in primary care and increase access to care for mental illness.”
- early treatment»Detta bör motverkas genom attitydförändringar och genom att erbjuda behandling av god kvalitet i ett tidigt skede.« (party programme ↗)“This should be counteracted through attitude change and by offering quality treatment at an early stage.”
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 requires that those seeking help for mental health are met with a simple and integrated pathway into care and that queues to child and adolescent psychiatric services are eliminated, and that collaboration between school health services and primary care psychiatry increases.
Plan documents: 2022 manifesto
Reasoning and quotes
The election manifesto requires that those seeking help for mental health are met with a simple and integrated pathway into care and that queues to child and adolescent psychiatric services are eliminated, and that collaboration between school health services and primary care psychiatry increases. National flow programmes that specify what interventions children should receive, within what timeframe and with coordination between child and adolescent psychiatric services, social services, school and school health services are exactly the integrated pathway the plan seeks. The requirement thus aligns with the party's own line.
Original (Swedish)
Valmanifestet kräver att den som söker hjälp för psykisk ohälsa möts av en enkel och samlad väg in i vården och att köerna till BUP arbetas bort, och att samarbetet mellan elevhälsan och primärvårdspsykiatrin ökar. Nationella flödesprogram som anger vilka insatser barn ska få, inom vilken tid och med samordning mellan BUP, socialtjänst, skola och elevhälsa är precis den samlade väg in planen efterlyser. Kravet är därmed partiets egen linje.
- integrated pathway and shortened child and adolescent psychiatric service queuesdecisive»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 people with mental health problems must improve, especially for young people. Those seeking help shall have a simple and integrated pathway into care. Queues to child and adolescent psychiatric services must be eliminated.”
- school and psychiatry collaboration»Samarbetet mellan elevhälsovården och primärvårdspsykiatrin måste öka och köerna till BUP kortas.« (2022 manifesto ↗)“Collaboration between school health services and primary care psychiatry must increase and child and adolescent psychiatric service queues must be shortened.”
- improved psychiatry»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 improve for both young and old. Those seeking support shall be met with an integrated and simple pathway into care and offered better self-care while waiting for treatment.”
- strengthened school health services»En bättre elevhälsa är en förutsättning för det.« (2022 manifesto ↗)“Better school health services is a prerequisite for this.”
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 is as self-evident for mental as for physical illness, that the care guarantee shall cover the entire care chain and that children's and young people's special needs shall be considered in all healthcare.
Plan documents: party programme
Reasoning and quotes
The plan establishes that the right to care is as self-evident for mental as for physical illness, that the care guarantee shall cover the entire care chain and that children's and young people's special needs shall be considered in all healthcare. National flow programmes indicating which interventions children shall receive and within what time, and which coordinate psychiatry, social services and school health services, are an application of these commitments. The plan also wants school health services to have competence in mental health.
Original (Swedish)
Planen slår fast att rätten till vård är lika självklar vid psykisk som vid fysisk sjukdom, att vårdgarantin ska omfatta hela vårdkedjan och att barns och ungas särskilda behov ska beaktas i all hälso- och sjukvård. Nationella flödesprogram som anger vilka insatser barn ska få och inom vilken tid, och som samordnar psykiatri, socialtjänst och elevhälsa, är en tillämpning av dessa åtaganden. Planen vill också att elevhälsan har kompetens inom psykisk hälsa.
- care guarantee for entire care chaindecisive»Vårdgarantin ska omfatta hela vårdkedjan, från diagnostik och undersökningar till återbesök och« (party programme ↗)“The care guarantee shall cover the entire care chain, from diagnostics and examinations to follow-up visits and”
- mental care equated with physical»Rätten till vård och behandling är lika självklar för både fysiska och psykiska sjukdomar.« (party programme ↗)“The right to care and treatment is as self-evident for both physical and mental illnesses.”
- children's needs in care»Barns och ungas särskilda behov ska beaktas i all hälso- och sjukvård.« (party programme ↗)“Children's and young people's special needs shall be considered in all healthcare.”
- school health services' competence»Elevhälsan ska ha kompetens inom både fysisk« (party programme ↗)“School health services shall have competence in both physical”
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 student health with coordinated child and youth healthcare, which is exactly the coordination between student health, school, social services and child and youth psychiatry that the counter-proposal requires.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto promises greatly strengthened student health with coordinated child and youth healthcare, which is exactly the coordination between student health, school, social services and child and youth psychiatry that the counter-proposal requires. The party programme additionally requires rapid and accessible expertise for children and young people with mental ill-health and care and dignity guarantees that specify what the individual can demand. National flow programmes with specified interventions and timeframes realize these commitments.
Original (Swedish)
Valmanifestet utlovar en kraftigt stärkt elevhälsa med en sammanhållen barn- och ungdomshälsovård, vilket är precis den samordning mellan elevhälsa, skola, socialtjänst och barn- och ungdomspsykiatri som motförslaget kräver. Principprogrammet kräver dessutom snabb och tillgänglig kompetens för barn och unga med psykisk ohälsa samt vård- och värdighetsgarantier som anger vad den enskilde kan kräva. Nationella flödesprogram med angivna insatser och tider förverkligar dessa åtaganden.
- coordinated child healthcaredecisive»Kraftigt stärkt elevhälsa med en sammanhållen barn- och ungdomshälsovård och föräldrastödsprogram som erbjuds alla föräldrar.« (2022 manifesto ↗)“Greatly strengthened student health with coordinated child and youth healthcare and parental support programmes offered to all parents.”
- rapid help for young people»Särskild vikt ska läggas vid snabb och tillgänglig kompetens för barn och ungdom med psykisk ohälsa.« (party programme ↗)“Special attention must be paid to rapid and accessible expertise for children and young people with mental ill-health.”
- care guarantees shall exist»Vård- och värdighetsgarantier, som grundar sig på etiska prioriteringar, ska finnas.« (party programme ↗)“Care and dignity guarantees, which are grounded in ethical priorities, shall exist.”
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 wants to legislate that children who are mentally unwell get help within at most 30 days and treatment within another 30 days, introduce a statutory care guarantee for children and strengthen child and youth psychiatry.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan wants to legislate that children who are mentally unwell get help within at most 30 days and treatment within another 30 days, introduce a statutory care guarantee for children and strengthen child and youth psychiatry. The counter-proposal's requirement for national flow programmes that specify which interventions shall be provided and within what time, with coordination between child and youth psychiatry, social services and school, directly responds to these commitments.
Original (Swedish)
Planen vill lagstifta om att barn som mår psykiskt dåligt får hjälp inom högst 30 dagar och behandling inom ytterligare 30 dagar, införa en lagstadgad vårdgaranti för barn och stärka barn- och ungdomspsykiatrin. Motförslagets krav på nationella flödesprogram som anger vilka insatser som ska ges och inom vilken tid, med samordning mellan BUP, socialtjänst och skola, svarar direkt mot dessa åtaganden.
- time limits for children's caredecisive»Moderaterna vill lagstifta om att barn som mår psykiskt dåligt och behöver hjälp och stöd ska få det inom maximalt 30 dagar. Och inom ytterligare maximalt 30 dagar få den behandling som behövs.« (2022 manifesto ↗)“The Moderate Party wants to legislate that children who are mentally unwell and need help and support shall receive it within a maximum of 30 days. And within a further maximum of 30 days receive the treatment that is needed.”
- care guarantee for children»Införa en ny lagstadgad vårdgaranti för barn« (2022 manifesto ↗)“Introduce a new statutory care guarantee for children”
- strengthened child and youth 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 unwell get help quickly”
- national strategy 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 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 requires a national strategy for work on mental health, that ill health is detected and treated early and that student health services are greatly strengthened, and it points out that long queues to child and adolescent psychiatric services can be countered if treatment competence exists in schools.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan requires a national strategy for work on mental health, that ill health is detected and treated early and that student health services are greatly strengthened, and it points out that long queues to child and adolescent psychiatric services can be countered if treatment competence exists in schools. The counter-proposal's demand for national flow programmes and care packages that coordinate child and adolescent psychiatric services, social services, school and student health is just such a coordinated arrangement.
Original (Swedish)
Planen kräver en nationell strategi för arbetet med psykisk hälsa, att ohälsa upptäcks och behandlas tidigt och att elevhälsan kraftigt förstärks, och den pekar på att köerna till BUP kan motverkas om behandlingskompetens finns i skolorna. Motförslagets krav på nationella flödesprogram och vårdpaket som samordnar BUP, socialtjänst, skola och elevhälsa är just en sådan samlad ordning.
- national strategy for mental healthdecisive»Ta fram en nationell strategi för det fortsatta arbetet med psykisk hälsa« (2022 manifesto ↗)“Develop a national strategy for the continued work on mental health”
- coordination of school and child and adolescent psychiatric services»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 psychiatric services can be countered if treatment competence to the greatest extent possible can be available on site in our schools.”
- early detection and treatment»Tidigt upptäcka och behandla psykisk ohälsa« (2022 manifesto ↗)“Early detection and treatment of mental ill health”
- strengthened student health»Kraftigt förstärka elevhälsan« (2022 manifesto ↗)“Greatly strengthen student health services”
Share and embed
Sources and documents
- The committee report on riksdagen.se (2023/24:SoU14)
- Committee report full text (HB01SoU14)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2023/24:1048 — Adhd-diagnoser hos barn och unga av Lili André (KD)
- Motion 2023/24:1180 — Omställningen till en god och nära vård behöver stärkas med ett barnrättsperspektiv av Jim Svensk Larm (S)
- Motion 2023/24:1199 — Integrering av jämlikhetsperspektivet i barnsjukvården av Jim Svensk Larm (S)
- Motion 2023/24:1318 — Närhet till sjukvård av Malin Larsson och Peter Hedberg (båda S)
- Motion 2023/24:1343 — Minskande av den administrativa bördan i välfärden av Anna-Belle Strömberg och Malin Larsson (båda S)
- Motion 2023/24:1406 — Stöd till svenskar som stridit för Ukraina av Ann-Sofie Alm (M)
- Motion 2023/24:1425 — Sambandsansvarig för vård av Ann-Sofie Lifvenhage (M)
- Motion 2023/24:1507 — Hälso- och sjukvårdens måluppfyllelse av Ingela Nylund Watz m.fl. (S)
- Motion 2023/24:1567 — Vård efter behov - stopp för kostnadsdrivande system inom hälso- och sjukvården av Eva Lindh m.fl. (S)
- Motion 2023/24:1605 — Utvärdering av den svenska missbrukspolitiken av Niels Paarup-Petersen (C)
- Motion 2023/24:192 — Utökad kommunal vård i Uddevalla och Strömstad av Magnus Jacobsson (KD)
- Motion 2023/24:1942 — Jämlik sjukvård i hela landet av Linnéa Wickman m.fl. (S)
- Motion 2023/24:1959 — Anpassad adhd-utredning efter kön och ålder av Johan Büser och Amalia Rud Pedersen (båda S)
- Motion 2023/24:1969 — Nationell likvärdighet i vården av Magnus Manhammar (S)
- Motion 2023/24:2017 — Bättre stöd inom primärvården till barn och unga med psykisk ohälsa av Sanna Backeskog (S)
- Motion 2023/24:2069 — En stärkt psykisk hälsa i hela landet av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2023/24:2077 — En tillgänglig sjukvård i världsklass av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2023/24:2126 — Huvudmannaskap för specialistsjukvården av Saila Quicklund (M)
- Motion 2023/24:2181 — Bättre behandling för människor med diagnosen ME/CFS av Maria Stockhaus (M)
- Motion 2023/24:2188 — Samverkan med anhöriga kring psykiatrisk vård av Ann-Sofie Lifvenhage (M)
Source: The Swedish Parliament