Comorbidity

The plan stipulates that people stuck in substance abuse should have access to the care they need, and criticizes healthcare being fragmented between levels and actors so that individuals are bounced around. It wants responsibility and control over healthcare to rest with regions and municipalities and help to be given quickly regardless of complaint. Moving treatment of harmful substance use to regions' healthcare and coordinating it with psychiatry is therefore supported by the plan.

• care for harmful substance usedecisive»Människor som fastnat i missbruk ska ha tillgång till den vård« (party programme ↗)“People stuck in substance abuse should have access to the care”
• counter fragmented care»Vården och omsorgen har styckats upp, mellan nivåer och aktörer, människor bollas runt i en stor administrativ apparat och det är ofta en kamp för den enskilde och dess anhöriga att få rätt tillgång till vård.« (2022 manifesto ↗)“Healthcare and care have been fragmented, between levels and actors, people are bounced around in a large administrative apparatus and it is often a struggle for the individual and their relatives to get proper access to care.”
• regional main responsibility»Vi vill att ansvaret och styrningen över hälso- och sjukvården ska« (party programme ↗)“We want responsibility and control over healthcare to”
• quick care including psychiatric»Du ska ha rätt till hjälp snabbt oavsett om du har brutit benet eller blivit utbränd.« (2022 manifesto ↗)“You should have the right to care quickly regardless of whether you have broken your leg or become burned out.”

The question of responsibility for addiction care is not addressed in the plan. The closest-lying commitments are that secrecy barriers between authorities shall be removed and that collaboration between social services and other activities shall increase, that is, people shall not fall between the authorities' stools. Moving the treatment of harmful use to the regions' health and medical care and coordinating it with psychiatry serves the same purpose, together with the requirement for equivalent care throughout the country.

• remove barriers between authoritiesdecisive»Sekretesshinder mellan myndigheter ska rivas så att polisen och andra yrkesgrupper kan göra sitt jobb.« (2022 manifesto ↗)“Secrecy barriers between authorities shall be removed so that police and other professionals can do their jobs.”
• coordinated measures»Det behövs mer samarbete mellan polis, elevhälsa, socialtjänst och skola.« (2022 manifesto ↗)“More collaboration is needed between police, student health, social services and school.”
• strengthened social services»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.”
• equivalent care and social services»Alla invånare i hela landet ska ha likvärdig tillgång till skola, vård och omsorg.« (party programme ↗)“All residents throughout the country shall have equivalent access to school, care and social services.”

The programme states that substance abuse is a disease and that focus should shift from punishment to care, with good access to treatment throughout the country. The election manifesto furthermore requires that people should not be passed between authorities when they need society's support. Transferring responsibility for treatment of harmful use and dependency to the regions' health and medical care and coordinating it with psychiatry is precisely the care logic and role division the plan advocates.

• substance abuse as disease, care over punishmentdecisive»Den enskildas missbruk är en sjukdom och vi vill se ett ändrat fokus från straff till vård.« (party programme ↗)“The individual's substance abuse is a disease and we want to see a shift in focus from punishment to care.”
• no one passed between authorities»se till att människor inte bollas mellan myndigheter när de behöver samhällets stöd.« (2022 manifesto ↗)“ensure that people are not passed between authorities when they need society's support.”
• dependency care nationwide»Det ska finnas god tillgång till behandling mot beroende och missbruk i hela landet.« (party programme ↗)“There should be good access to treatment for dependency and substance abuse throughout the country.”
• strong psychiatric expertise in healthcare»Den psykiatriska och psykologiska kompetensen i primärvården ska vara stark och kvalitetssäkrad.« (party programme ↗)“The psychiatric and psychological expertise in primary care should be strong and quality assured.”

The plan's commitment that whoever seeks help for mental ill health should have an easy and unified path into care argues for coordinating treatment of harmful use and dependency with the rest of psychiatry rather than dividing it between principals. The plan also places care responsibility with the regions and wants to increase cooperation between municipal and regional healthcare, which is exactly the role division the counter-proposal wants to clarify. The conclusion is support for the demand, even if the plan does not speak to the timing.

• a unified path into caredecisive»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 ill health must be improved, especially for young people. Whoever seeks help should have an easy and unified path into care.”
• care responsibility with the regions»Vi vill försvara valfriheten inom vård och omsorg och bedriva verksamheten nära vårdtagarna. Ansvaret för vården ska inte flyttas från regionerna till staten.« (2022 manifesto ↗)“We want to defend the right of choice within care and health services and conduct activities close to those receiving care. Care responsibility should not be moved from the regions to the state.”
• cooperation between municipality and region»Genom en platsmiljard och ökat samarbete mellan kommunal och regional hälso- och sjukvård ökar vi möjligheterna att nå målet om en beläggningsgrad på 90% på våra sjukhus.« (2022 manifesto ↗)“Through a place billion and increased cooperation between municipal and regional healthcare, we increase the opportunities to reach the goal of 90% occupancy in our hospitals.”

The party programme establishes that the right to care is just as self-evident for mental as for physical illnesses and that substance abuse and addiction care shall be scientifically grounded, which points towards addiction care belonging in healthcare rather than social services. The election manifesto also wants a broad review of healthcare's organization and financing, which carries the counter-proposal's demand for clearer administrative responsibility. The conclusion is inferred because the plan does not mention the comorbidity reform.

• psychiatry equated with somatic caredecisive»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.”
• evidence-based addiction care»Missbruks- och beroendevården ska vara vetenskapligt grundad.« (party programme ↗)“Substance abuse and addiction care shall be scientifically grounded.”
• clearer administrative responsibility»Det behövs en bred översyn av vårdens organisering och finansiering.« (2022 manifesto ↗)“A broad review of healthcare's organization and financing is needed.”
• harm reduction in addiction care»Politiken ska utgå från en skadelindringsprincip.« (party programme ↗)“Policy shall be based on a harm reduction principle.”

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 wants to replace 21 providers with a joint state organization for care, which argues for consolidating responsibility for addiction care within healthcare instead of dividing it between municipality and region. The party programme requires that addiction treatment is directed at breaking addiction, that psychiatry is accessible based on patient needs and that coordination occurs between healthcare and social services. The counter-proposal's demand is therefore in line with the plan.

• consolidated provider responsibilitydecisive»Låt staten ta över ansvaret för vården med en gemensam organisation i stället för 21 olika.« (2022 manifesto ↗)“Let the state take over responsibility for care with one joint organization instead of 21 different ones.”
• addiction care as healthcare»Missbrukarvård ska inriktas på att bryta beroendet« (party programme ↗)“Addiction treatment should be directed at breaking addiction”
• accessible psychiatry»ohälsa. Psykiatrisk vård och omsorg ska präglas av tillgänglighet och flexibilitet utifrån patientens behov.« (party programme ↗)“illness. Psychiatric care and treatment should be characterized by accessibility and flexibility based on patient needs.”
• coordination between providers»Det finns tydliga samband mellan kostnaderna för« (party programme ↗)“There are clear connections between the costs for”

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 identifies substance abuse treatment as an area to be strengthened within a large reform package and wants to strengthen psychiatry so that those who are unwell receive help quickly. The question of administrative responsibility is not addressed, but the plan's requirement for care characterized by quality and accessibility suggests that responsibility should be placed where treatment is actually provided and coordinated with other psychiatry. Hence support for the counter-proposal's demand, but on derived and therefore weak grounds.

• strengthened substance abuse treatmentdecisive»Det handlar om över 50 reformer för att stärka socialtjänst, skola och missbruksvård.« (2022 manifesto ↗)“It is about over 50 reforms to strengthen social services, education and substance abuse treatment.”
• strengthened psychiatry»Stärka barn- och ungdomspsykiatrin så att barn och unga som mår dåligt får hjälp snabbt« (2022 manifesto ↗)“Strengthen child and adolescent psychiatry so that children and young people who are unwell receive help quickly”
• quality and accessibility»Svensk sjukvård ska präglas av kvalitet, tillgänglighet och valfrihet.« (party programme ↗)“Swedish healthcare shall be characterized by quality, accessibility and choice.”

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 points to steering through 21 regions as the core problem behind unclear roles and conflicting targets in healthcare and wants to see a more coordinated system so that individuals are not caught between authorities. Moving responsibility for harmful use and addiction to the regions' healthcare and coordinating it with psychiatry is precisely such a clarification. The plan additionally wants to strengthen psychiatry's resources, which further supports the requirement.

• unclear responsibility distribution in healthcaredecisive»Huvudproblemet handlar i betydande utsträckning om att styrningen via 21 olika regioner skapar otydlighet, målkonflikter, successivt ökande administration och brister i kompetensförsörjningen.« (2022 manifesto ↗)“The main problem concerns to a significant extent the fact that steering through 21 different regions creates unclear roles, conflicting targets, steadily increasing administration and lack of skills supply.”
• coordination between authorities»Sverigedemokraterna vill också verka för ett mer samordnat system mellan berörda myndigheter för att enskilda inte ska komma i kläm.« (2022 manifesto ↗)“Sweden Democrats also want to work for a more coordinated system between relevant authorities so individuals are not caught between them.”
• strengthened psychiatry»Stärka resurserna till psykiatrin« (2022 manifesto ↗)“Strengthen resources for psychiatry”
• new cooperation structures»Det behöver skapas nya strukturer för ett förbättrat samarbete mellan departement, myndigheter och andra relevanta aktörer.« (2022 manifesto ↗)“New structures need to be created for improved collaboration between departments, authorities and other relevant actors.”

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.