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  Speech and Language Therapy in Sweden

 


 

Overall description / Legal basis

In Sweden speech and language therapy is a public service, provided by either the local authorities or by the regional authorities.

The obligation to provide the service is regulated by –

  1. the Act on Health services (Hälso- och sjukvårdslagen, HSL)

  2. the Act on Special Support and Services (Lagen om Särskilt Stöd och Service, LSS). This act/law entitles both children and adults with disabilities advice and support from a variety of different specialists.  Speech and Language Therapy is one of the services you can demand trough this act.

Organisation of SLT in the country

Age 0 to 18:  SLTs are usually employed by the regional authority and allocated to hospitals or primary health care centers. The children are referred to the SLTs either from the child health care facilities or by their parents. 

Some of the SLTs work at service centers for disabled children, barnhabilite-ringar.

The SLT has independent responsibility for all children in need of assessment and/or therapy.

An increasing number of local authorities are employing SLTs to work in schools and day care centers where they are responsible for the children with speech- language- and voice problems.

Adults:  SLTs are usually employed by the regional authority and allocated to hospitals or primary health care centers. The SLTs who provide services for the adult population can be employed at various clinics, i. e. ENT, rehabilitation etc, and they all provide therapy on site.

Some of the SLTs work at service centers for disabled adults, vuxenhabiliteringar.

The SLTs have independent responsibility for the patients.

Due to the fact that public authorities are obliged to provide the treatment any citizen may need, free of charge for children and at a symbolic cost for adults, there is no agreement with social security or insurance companies about reimbursement of speech and language therapy.

Over the last years few speech and language therapists (SLT) have established private practises. Some of these SLTs sell their services to schools, service centres etc, a small amount of the SLTs in private practise have agreements with the regional authorities.  If the SLT does not have an agreement with the authorities clients/patients who choose to have therapy under private management will have to pay the full cost themselves.

Education / training  (BA/MA/PG)

SLTs have been trained / educated in Sweden since 1964, the training has been governed by the state ever since.

Currently there are five education programs in Sweden, one at the University of Lund, one at the University of Gothenburg, one at the Health University of Linköping, one at the Karolinska Institutet in Stockholm and one at the University of Umeå. A sixth program will start at the University of Uppsala in 2005. 

Formally, they all are regular full academic educations, offered by the Medical faculty, with a prescribed length of study of 4 years. After completed education the students obtain the Swedish magister examen, i. e. master of science degree.

Authorisation / license / recognition of diploma

Swedish SLTs are required to have a license to have a right to practise their profession. The license is granted by a governmental authority and the SLTs apply for their license by sending in their diploma. As all SLTs have full responsibility for their patients the right to practise can by violated and the license withdrawn by the same authority if someone not is fulfilling their duties or mistreating a patient.

There are no regulated requirements for continuing education. It is considered the responsibility of the employing authority to ensure that employees are taking relevant and necessary courses to keep them professionally updated.

Recognition of professional qualifications obtained abroad

To work in Sweden the SLT needs the Swedish license. SLTs with a foreign education must apply for the license at the governmental authority who has the right and the power to judge the qualifications and to decide if they can be considered sufficient.  

Linguistic competences: To obtain employment it is, of course, necessary to master Swedish at a high level. Usually, the judgement of linguistic competence will be performed by the employing authority during an interview. Formal testing may be performed, too.

Status of the profession and the professional + income/salary

Speech and language therapy has been acknowledged a profession for about 40 years.

In Sweden speech and language therapy is considered a paramedical profession. This is in full accordance with the professional profile of CPLOL, saying that "The speech and language therapist is the professional responsible for the prevention, assessment, treatment and scientific study of human communication and related disorders".

Today, speech and language therapy is recognized by the public as well as by different authorities although not to such high extent as desired.

There is only one specific legal regulation concerning speech and language therapy and this is just for persons with severe disabilities (the Act on Special Support and Services/Lagen om Särskilt Stöd och Service, LSS).

SLTs are employed in SLT positions or in manager positions. In 2004 the average annual salaries is SKK 307 000 (32 890 euro).

Professional association

The professional association in Sweden, only admitting individuals with a SLT license or students at a SLT program, is Svenska Logopedförbundet (The Swedish Association of Speech and Language Pathologists). The association was founded in 1966.

Further information / Useful links

The Swedish Association of Speech and Language Pathologists, www.logopedforbundet.se

 

The SLT education in Lund, http://gemini.ldc.lu.se/~logopedi/

 

The SLT education in Gothenburg, http://www.logopedi.gu.se/

 

The SLT education in Linköping,

http://infoweb.unit.liu.se/hu/logoped/presentation

 

The SLT education in Stockholm,

http://info.ki.se/education/2003/pgmlogop_se.html

 

The SLT education in Umeå, http://www.umu.se/clin_sci/logopedi/

 

The National Board of Health Services (Socialstyrelsen), www.sos.se

Author / reference    

Ingrid Kongslöv

President, The Swedish Association of Speech and Language Pathologists

Swedish representative to CPLOL

June 2004

 

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