Fylkesfordeling av andlen personer med tvangsvedtak

Tvangslovgivning ute av kontroll

Andelen vedtak om tvang og makt overfor mennesker med utviklingshemning, er i Hedmark 627% av tilsvarende andel i Finnmark.

I følge tilsynsmelding for 2014 fra Helsetilsynet, var det i Hedmark 104 personer med vedtak om tvang og makt etter helse- og omsorgstjenestelovens kapittel 9.

I følge regjeringens Kriteriedata til inntektssystemet for kommunene 2015, var det 896 personer med utviklingshemning over 16 år i Hedmark. Ser en bort i fra et vansligvis svært lavt antall barn som har tvangsvedtak, så har 11,16% av mennesker med utviklingshemning i Hedmark vedtak om tvang og makt etter helse- og omsorgslovens kapittel 9. 

I Finnmark var det i 2014 6 personer med tilsvarende vedtak om tvang og makt. Antallet personer med utviklingshemning over 16 år, er i Finnmark 324. 1,85% av voksne med utviklingshemning har altså vedtak om tvang og makt i Finnmark.

For landet totalt sett, er det 7,14% som har vedtak om tvang og makt.

 

Tabell: Fordeling av antall tvangsvedtak etter helse- og omsorgstjenestelovens kapittel 9 og antallet personer med utviklingshemning som er fylt 16 år (Kilde: Helsetilsynets tilsynsmelding 2014 og regjeringens Kriteriedata til inntektssystemet for kommunene 2015)

Fylke Antall tvangsvedtak Antall personer med utviklingshemning over 16 år Prosentandel med tvangsvedtak
Finnmark 6 324 1,85%
Østfold 29 1063 2,73%
Sogn og Fjordane 17 496 3,43%
Nord-Trøndelag 30 680 4,41%
Aust-Agder 21 449 4,68%
Telemark 36 683 5,27%
Nordland 67 1148 5,84%
Vestfold 55 907 6,06%
Møre og Romsdal 64 1004 6,37%
Troms 44 680 6,47%
Oppland 58 867 6,69%
Sør-Trøndelag 67 996 6,73%
Vest-Agder 51 739 6,90%
Oslo og Akershus 221 2949 7,49%
Rogaland 130 1371 9,48%
Buskerud 94 925 10,16%
Hordaland 195 1887 10,33%
Hedmark 104 896 11,61%
Totalt 1289 18064 7,14%

 

Hva variasjonen mellom fylkene skyldes, forteller tallene ikke noe om. Tilfeldige variasjoner knyttet til innbyggerne med utviklingshemning i de aktuelle fylkene kan utelukkes. En nærliggende forklaring er forskjeller mellom fylkene når det gjelder kultur, lovforståelse ol. hos fylkesmannen og/eller spesialisthelsetjenesten og/eller den kommunale omsorgstjenesten. En annen forklaring kan være fylkesvise forskjeller i tjenestetilbudet.

Basert på enkeltsaker som NFU er kjent med, synes Hedmark å praktisere en vid forståelse av «... at personer med psykisk utviklingshemning utsetter seg selv eller andre for vesentlig skade ...», ett av vilkårene for å fatte tvangsvedtak. Av årsaker som en kan lese ut av tabellen, har vi liten erfaring med tvangsvedtak fra Finnmark. Imidlertid er det et lite mindretall av de 104 tvangsvedtakene i Hedmark som NFU er kjent med.

Om det er Hedmark som har alt for mange tvangsvedtak eller om det er Finnmark som har alt for få vedtak, er det ingen som vet. Ingen vet heller hvor stor andel av mennesker med utviklingshemning som bør ha et tvangsvedtak. Men helt sikkert kan en si at dersom tjenestetilbudet, kompetansen, etikken og lovforståelsen er omtrentlig likt fordelt over landet, ville en ikke registrert en slik ekstrem variasjon i andelen tvangsvedtak som vi vitterlig registrerer.


Jens Petter Gitlesen

23 november 2015

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