2024-05-162023/24:UbU11 · p.10UbUEducation
Students' health, etc.
Governance of student health services and cooperation with health care and social services
What's at stake: The issue affects how quickly and equally students across the country - particularly girls, among whom mental and physical ill-health has risen the most - receive coordinated support from schools, health care and social services, and what responsibility school leadership bears for this.
Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.
What the vote decides
Whether student health services need a clearer, non-delegable responsibility placed with the principal, national guidance and shared record-keeping with health care, or whether ongoing government efforts to strengthen student health services are already enough.
Yes Yes — the committee proposal
The committee underlines student health services' preventive and health-promoting role and their cooperation with health care and social services when needed. The committee notes that a recently decided committee directive on improved student health services and new 2023 regulation already strengthen student health's role and duty to cooperate, and that a national health programme for children and young people up to age 20 is being developed for more coherent and equal follow-up across the country. The committee therefore recommends rejecting the motions.
No No — the reservations
Reservation 22 (C)
The reserving party (C) notes that mental and physical ill-health among young people - particularly girls - has risen, and calls for the Education Act to clearly state that the principal is responsible for and coordinates student health services, a responsibility that should not be delegable. The reservation also calls for national guidance to make student-health work more equal, shared record-keeping between student health services and health care, and a duty for schools to convene or take part in a coordinated individual plan (SIP) when a student risks failing to manage their schooling.
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 22 by C.
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
Ja 148–19Ja 134–33
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 0/0/19/5 | differs | confidence: medium | derived |
| S | No | Abstain 0/0/93/13 | differs | confidence: medium | derived |
| MP | No | Abstain 0/0/13/5 | differs | confidence: medium | not addressed |
| C | No | No 0/19/0/5 | match | confidence: high | explicit |
| L | No | Yes 12/0/0/4 | differs | confidence: medium | derived |
| KD | No | Yes 14/0/0/5 | differsagainst own programme | confidence: high | explicit |
| M | No | Yes 60/0/0/8 | differs | confidence: medium | not addressed |
| SD | No | Yes 61/0/0/11 | differs | confidence: medium | not addressed |
Committee proposal
The Riksdag rejects the motions 2023/24:23 by Johnny Svedin (SD), 2023/24:124 by Martin Westmont (SD), 2023/24:465 by Karin Rågsjö et al. (V) proposal 4, 2023/24:1925 by Magnus Manhammar (S), 2023/24:2451 by Camilla Hansén et al. (MP) proposal 31, 2023/24:2489 by Niels Paarup-Petersen et al. (C) proposals 12-14, 2023/24:2617 by Fredrik Lundh Sammeli et al. (S) proposals 75 and 77, 2023/24:2668 by Leila Ali Elmi et al. (MP) proposal 3, and 2023/24:2669 by Märta Stenevi et al. (MP) proposals 6 and 7.
Original (Swedish)
Riksdagen avslår motionerna 2023/24:23 av Johnny Svedin (SD), 2023/24:124 av Martin Westmont (SD), 2023/24:465 av Karin Rågsjö m.fl. (V) yrkande 4, 2023/24:1925 av Magnus Manhammar (S), 2023/24:2451 av Camilla Hansén m.fl. (MP) yrkande 31, 2023/24:2489 av Niels Paarup-Petersen m.fl. (C) yrkandena 12-14, 2023/24:2617 av Fredrik Lundh Sammeli m.fl. (S) yrkandena 75 och 77, 2023/24:2668 av Leila Ali Elmi m.fl. (MP) yrkande 3 och 2023/24:2669 av Märta Stenevi m.fl. (MP) yrkandena 6 och 7.
Riksdag decision: The Riksdag said no to approximately 120 proposals about teachers and students in motions from the general motion period 2023. The reason is, among other things, that work is ongoing or that measures have already been taken in the questions that the proposals address. The proposals concern, for example, school personnel, criminal record checks, students' health and students with special needs.
Counter-proposals
- The counter-proposal wants to spread and develop the model of teaching assistants and provide instructional materials for unqualified teachers. (C) — Reservation 22
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 demands investment not only in teaching but also in student health and social support, and points to the widespread mental ill-health among young people.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto demands investment not only in teaching but also in student health and social support, and points to the widespread mental ill-health among young people. The counter-proposal's requirement for coordinated student health, national guidance for equality and obligation to call for support planning is in line with the plan's requirement for early intervention and capacity to support each child, although the plan does not comment on shared record-keeping.
Original (Swedish)
Valplattformen kräver satsningar inte bara på undervisning utan också på elevhälsa och socialt stöd, och pekar på den utbredda psykiska ohälsan bland unga. Motförslagets krav på samordnad elevhälsa, nationell vägledning för likvärdighet och skyldighet att kalla till stödplanering ligger i linje med planens krav på tidiga insatser och kapacitet att stödja varje barn, även om planen inte uttalar sig om gemensam journalföring.
- investment in student healthdecisive»Det krävs satsningar inte bara på undervisning utan också på elevhälsa, specialpedagoger, fritidsverksamhet och socialt stöd.« (2022 manifesto ↗)“Investment is required not only in teaching but also in student health, special educators, leisure activities and social support.”
- young people's mental ill-health»Alltför många barn far illa idag och den psykiska ohälsan bland unga är utbredd.« (2022 manifesto ↗)“Too many children are suffering today and mental ill-health among young people is widespread.”
- early intervention 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, early intervention for struggling children and improved access to learning throughout life.”
- support for each child»och kapacitet att stödja varje barn under uppväxten.« (party programme ↗)“and capacity to support each child during growth.”
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 demands more collaboration between student health, school, social services and other authorities and wants to remove secrecy barriers so that professionals can do their jobs.
Plan documents: 2022 manifesto
Reasoning and quotes
The election manifesto demands more collaboration between student health, school, social services and other authorities and wants to remove secrecy barriers so that professionals can do their jobs. The counter-proposal's requirement for coordinated support planning and shared record-keeping between student health and healthcare is the same thing in substance. The plan also emphasizes that social services should be strengthened to reach young people in time.
Original (Swedish)
Valmanifestet kräver mer samarbete mellan elevhälsa, skola, socialtjänst och andra myndigheter och vill riva sekretesshinder så att yrkesgrupperna kan göra sitt jobb. Motförslagets krav på samordnad stödplanering och gemensam journalföring mellan elevhälsan och vården är samma sak i sak. Planen betonar också att socialtjänsten ska stärkas för att fånga upp unga i tid.
- collaboration on student healthdecisive»Det behövs mer samarbete mellan polis, elevhälsa, socialtjänst och skola.« (2022 manifesto ↗)“More collaboration is needed between police, student health, social services and school.”
- remove secrecy barriers between authorities»Sekretesshinder mellan myndigheter ska rivas så att polisen och andra yrkesgrupper kan göra sitt jobb.« (2022 manifesto ↗)“Secrecy barriers between authorities should be removed so that police and other professionals can do their jobs.”
- strengthened social services reach young people»Att socialtjänsten stärks är centralt för att fånga upp unga i tid.« (2022 manifesto ↗)“Strengthening social services is central to reaching young people in time.”
- every child shall be able to succeed»Skolan ska ge varje barn möjlighet att lyckas utifrån sina förutsättningar.« (2022 manifesto ↗)“School shall give every child the opportunity to succeed according to their circumstances.”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The election manifesto commits to strengthening student health with more school nurses, special education teachers, psychologists and counsellors, and to easing secrecy between schools and social services so that no child falls through the cracks.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto commits to strengthening student health with more school nurses, special education teachers, psychologists and counsellors, and to easing secrecy between schools and social services so that no child falls through the cracks. The party programme requires active cooperation between student health, primary care and psychiatry. The counter-proposal's demand for coordinated responsibility, national guidance and joint medical records are measures in the same direction.
Original (Swedish)
Valmanifestet åtar sig att förstärka elevhälsan med fler skolsköterskor, specialpedagoger, psykologer och kuratorer, och att lätta på sekretessen mellan skola och socialtjänst så att inga barn faller mellan stolarna. Partiprogrammet kräver aktiv samverkan mellan elevhälsa, primärvård och psykiatri. Motförslagets krav på samlat ansvar, nationell vägledning och gemensam journalföring är åtgärder i samma riktning.
- strengthened student healthdecisive»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 schools”
- information sharing about children»lätta på sekretessen mellan områdespoliser, skola, socialtjänst och stärka samarbetet med civilsamhälle så att inga barn faller mellan stolarna i det förebyggande arbetet« (2022 manifesto ↗)“ease secrecy between neighbourhood police, schools, social services and strengthen cooperation with civil society so that no child falls through the cracks in preventive work”
- cooperation around young people's health»unga krävs det en aktiv samverkan mellan elevhälsa, föräldrar, primärvård, ungdomsmottagning« (party programme ↗)“young people require active cooperation between student health, parents, primary care, youth health clinic”
- 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”
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 cooperation between student health services and primary care psychiatry increases and that better student health is ensured, which is the core of the counter-proposal's demands for coordination, shared medical records and coordinated support planning.
Plan documents: 2022 manifesto
Reasoning and quotes
The election manifesto requires that cooperation between student health services and primary care psychiatry increases and that better student health is ensured, which is the core of the counter-proposal's demands for coordination, shared medical records and coordinated support planning. The plan also points out the high mental ill health among children and young people and requires easy paths into care. The demand for national guidance aligns with the commitment to a more equitable school throughout the country.
Original (Swedish)
Valmanifestet kräver att samarbetet mellan elevhälsovården och primärvårdspsykiatrin ökar och att en bättre elevhälsa säkras, vilket är kärnan i motförslagets krav på samordning, gemensam journalföring och samordnad stödplanering. Planen pekar också ut den höga psykiska ohälsan bland barn och unga och kräver enkla vägar in till vården. Kravet på nationell vägledning ligger i linje med åtagandet om en mer likvärdig skola i hela landet.
- coordination of student health and psychiatrydecisive»Samarbetet mellan elevhälsovården och primärvårdspsykiatrin måste öka och köerna till BUP kortas.« (2022 manifesto ↗)“Cooperation between student health services and primary care psychiatry must increase and queues to child and adolescent psychiatric care must be shortened.”
- better student health»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 should be a safe place — free from racism, homophobia and harassment based on gender — where children can grow and develop. Better student health is a prerequisite for that.”
- prevent mental ill health in young people»Den psykiska ohälsan hos våra barn och unga är alldeles för hög och vi måste arbeta mer förebyggande och skapa enkla vägar till vården« (2022 manifesto ↗)“The mental ill health among our children and young people is far too high and we must work more preventively and create easy paths into care”
- equitable school throughout the country»Skolan ska bli bättre och mer likvärdig i hela landet.« (2022 manifesto ↗)“School shall be better and more equitable throughout the country.”
The plan wants an equivalent school throughout the country, ultimately through state administration, and that student health has competence for both physical and mental health.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan wants an equivalent school throughout the country, ultimately through state administration, and that student health has competence for both physical and mental health. It also requires that authorities as a main rule shall be able to exchange information with each other concerning children who are faring badly. The counter-proposal's demand for national guidance, combined responsibility with school management and joint record-keeping with healthcare aligns with these commitments.
Original (Swedish)
Planen vill ha en likvärdig skola i hela landet, ytterst genom statligt huvudmannaskap, och att elevhälsan har kompetens för både fysisk och psykisk hälsa. Den kräver också att myndigheter som huvudregel ska kunna utbyta information med varandra kring barn som far illa. Motförslagets krav på nationell vägledning, samlat ansvar hos skolledningen och gemensam journalföring med vården ligger i linje med dessa åtaganden.
- equivalent school throughout the countrydecisive»Vi vill att staten tar över ansvaret från skolan från kommunerna så att alla elever får gå i bra skolor – inte bara de som råkar bo på rätt ställe.« (2022 manifesto ↗)“We want the state to take over responsibility from the schools from the municipalities so that all pupils get to go to good schools – not just those who happen to live in the right place.”
- information sharing between authorities»Polis och socialtjänst ska som huvudregel alltid kunna utbyta information sinsemellan och ska oftare dela lokaler.« (2022 manifesto ↗)“Police and social services shall as a main rule always be able to exchange information with each other and shall more often share premises.”
- clear responsibility with school management»I en välfungerande skola finns en tydlig ledare.« (party programme ↗)“In a well-functioning school there is a clear leader.”
- mental health equated»Rätten till vård och behandling är lika självklar för både fysiska och psykiska sjukdomar.« (party programme ↗)“The right to care and treatment is just as 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 election manifesto promises a significantly strengthened student health with integrated child and youth healthcare, which is the core of the counter-proposal's demand for coordinated responsibility, national guidance and shared medical records between student health and healthcare.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto promises a significantly strengthened student health with integrated child and youth healthcare, which is the core of the counter-proposal's demand for coordinated responsibility, national guidance and shared medical records between student health and healthcare. The plan also wants national standards for digital healthcare information. Special emphasis is placed on rapid and accessible expertise for children and young people with mental health problems.
Original (Swedish)
Valmanifestet lovar en kraftigt stärkt elevhälsa med en sammanhållen barn- och ungdomshälsovård, vilket är kärnan i motförslagets krav på samordnat ansvar, nationell vägledning och gemensam journalföring mellan elevhälsan och vården. Planen vill också ha nationella standarder för digital vårdinformation. Särskild vikt läggs vid snabb och tillgänglig kompetens för barn och unga med psykisk ohälsa.
- integrated student healthdecisive»Kraftigt stärkt elevhälsa med en sammanhållen barn- och ungdomshälsovård och föräldrastödsprogram som erbjuds alla föräldrar.« (2022 manifesto ↗)“Significantly strengthened student health with integrated child and youth healthcare and parental support programmes offered to all parents.”
- shared healthcare information»Trygg patientsäkerheten med nationella standarder och tekniska specifikationer för all digital vårdinformation.« (2022 manifesto ↗)“Secure patient safety with national standards and technical specifications for all digital healthcare information.”
- rapid help for mental health problems»Särskild vikt ska läggas vid snabb och tillgänglig kompetens för barn och ungdom med psykisk ohälsa.« (party programme ↗)“Special emphasis should be placed on rapid and accessible expertise for children and young people with mental health problems.”
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 prioritizes children's mental health highly with a new statutory healthcare guarantee for children and strengthened child and adolescent psychiatry, and wants to remove secrecy barriers between authorities that meet the same child.
Plan documents: 2022 manifesto
Reasoning and quotes
The election manifesto prioritizes children's mental health highly with a new statutory healthcare guarantee for children and strengthened child and adolescent psychiatry, and wants to remove secrecy barriers between authorities that meet the same child. The counter-proposal's demand for coordinated responsibility, shared medical records and obligation to call for support planning is in line with this. The organization of student health is not mentioned in the plan, so the conclusion is derived.
Original (Swedish)
Valmanifestet prioriterar barns psykiska hälsa högt med en ny lagstadgad vårdgaranti för barn och en förstärkt barn- och ungdomspsykiatri, och vill undanröja sekretesshinder mellan myndigheter som möter samma barn. Motförslagets krav på samordnat ansvar, gemensam journalföring och skyldighet att kalla till stödplanering ligger i linje med detta. Elevhälsans organisation nämns inte i planen, så slutsatsen är härledd.
- healthcare guarantee for childrendecisive»Införa en ny lagstadgad vårdgaranti för barn« (2022 manifesto ↗)“Introduce a new statutory healthcare guarantee for children”
- stronger 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 who are unwell receive help quickly”
- removed secrecy barriers»Undanröja alla sekretesshinder mellan socialtjänst och polis« (2022 manifesto ↗)“Remove all secrecy barriers between social services and police”
- national suicide strategy»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 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 to substantially strengthen student welfare services and sees schools as a central arena for preventive work against mental ill-health.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan wants to substantially strengthen student welfare services and sees schools as a central arena for preventive work against mental ill-health. It requires that all school staff with student contact can engage student welfare services early and that treatment expertise is available on site in schools. The counter-proposal's requirement for joint responsibility, national guidance and coordinated support planning aligns with this, even though the plan does not regulate responsibility distribution in detail.
Original (Swedish)
Planen vill kraftigt förstärka elevhälsan och ser skolan som en central arena för förebyggande insatser mot psykisk ohälsa. Den kräver att all skolpersonal med elevkontakt kan koppla in elevhälsan tidigt och att behandlingskompetens finns på plats i skolan. Motförslagets krav på samlat ansvar, nationell vägledning och samordnad stödplanering ligger i linje med detta, även om planen inte reglerar ansvarsfördelningen i detalj.
- strengthened student welfaredecisive»Kraftigt förstärka elevhälsan« (2022 manifesto ↗)“Substantially strengthen student welfare services”
- 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 welfare services as we believe school is an important arena for preventive work.”
- early detection of ill-health»All skolpersonal med elevkontakt ska genom utbildningsinsatser ha en grundläggande förståelse för psykisk ohälsa för att kunna koppla in elevhälsan i ett tidigt skede.« (2022 manifesto ↗)“All school staff with student contact should through training initiatives have basic understanding of mental ill-health in order to engage student welfare services at an early stage.”
- treatment close to the student»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 counteracted if treatment expertise to the greatest extent possible can be available on site in our schools.”
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 (2023/24:UbU11)
- Committee report full text (HB01UbU11)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2023/24:1028 — Åtgärder för att motverka problematisk skolfrånvaro av Louise Thunström (S)
- Motion 2023/24:1036 — Nollvision mot mobbning av Anna Wallentheim (S)
- Motion 2023/24:1048 — Adhd-diagnoser hos barn och unga av Lili André (KD)
- Motion 2023/24:1236 — Införande av rätten till punktskrift i skollagen av Christofer Bergenblock (C)
- Motion 2023/24:124 — Obligatoriska besök hos elevhälsan för alla elever på högstadiet och gymnasiet av Martin Westmont (SD)
- Motion 2023/24:1298 — Tidiga insatser för att säkra barns skolgång av Hanna Westerén (S)
- Motion 2023/24:1346 — Utökad satsning på läsinlärning genom stärkt lärarkompetens av Lars Isacsson (S)
- Motion 2023/24:1404 — Ett regelverk som möjliggör bruk av skoluniformer av Stefan Olsson (M)
- Motion 2023/24:1415 — Sammanhållen skolhälsovård av Ann-Sofie Lifvenhage (M)
- Motion 2023/24:1418 — Särskild prövning till anpassad skola av Ann-Sofie Lifvenhage (M)
- Motion 2023/24:1476 — Hälsosam och kvalitetssäkrad skolmat av Markus Wiechel och Alexander Christiansson (båda SD)
- Motion 2023/24:1484 — Avgiftsfria mensskydd i grundskolan och gymnasieskolan av Sofia Skönnbrink (S)
- Motion 2023/24:1515 — Modersmålsundervisning för döva och hörselskadade elever i grundskolan av Jessica Rodén (S)
- Motion 2023/24:1562 — Ett nationellt lyft fo¨r en organiserad rastverksamhet av Mattias Vepsä (S)
- Motion 2023/24:1670 — Avgiftsfria mensskydd i grund- och gymnasieskolor av Alexandra Völker och Azadeh Rojhan (båda S)
- Motion 2023/24:1679 — SPSM och tillgänglighet för studerande av Ewa Pihl Krabbe och Per-Arne Håkansson (båda S)
- Motion 2023/24:1718 — Nationellt frånvaroregister i skolan av Aida Birinxhiku (S)
- Motion 2023/24:1744 — Ett rikt friluftsliv i skolan av Anne-Li Sjölund (C)
- Motion 2023/24:180 — Rekrytering av rektorer av Markus Wiechel (SD)
- Motion 2023/24:1875 — Ett rörelserikt samhälle - åtgärder för att främja fysisk aktivitet av Amanda Lind m.fl. (MP)
Source: The Swedish Parliament