Autonomistärkning

Autonomistärkning is a concept that refers to processes and practices aimed at increasing the autonomy and control of individuals or groups over their own lives, decisions and actions. The term is used across sectors such as health care, social services, education, workplaces and public governance to describe efforts that shift power, information and resources closer to those affected.

Core elements of autonomistärkning include access to relevant information, capacity-building and skills development, meaningful decision-making power, and supportive environments that respect individual preferences. Mechanisms commonly employed are person-centered approaches, shared decision-making, co-production, user involvement, and systems that enable self-management and flexible support networks. The aim is to move from passive receipt of services to active participation and self-determination.

In practice, autonomistärkning appears in patient empowerment and self-management in health care, user-directed support in social services, student-centered learning in education, autonomous team models in workplaces, and delegated authority in local government. Benefits often cited include increased satisfaction, engagement, better alignment with individual needs, and potential improvements in outcomes and innovation. However, challenges can arise, such as unequal access to resources, potential overburdening of individuals, safety concerns, and difficulties in measuring impact or changing established practices.

Assessment of autonomistärkning typically involves evaluating levels of involvement, perceived autonomy, decision-making capacity, and related outcomes through surveys, interviews and service audits. The concept is closely related to empowerment, self-determination, and person-centered care, and is informed by traditions of participatory approaches and user-led design.