Finally, 5.2% was spent on general psychiatry and 0.9% (the least of all medical specialties) on child psychiatry in regional hospitals. This implies that the county hospitals bear the largest share of specialist psychiatric out- and inpatient services (SALAR, 201 lb). Sweden has been a proactive actor in the advancement of national mental health, developing locally targeted policy and programmes, as well as cooperating with international mental health efforts.