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An analysis of disability employment approaches in Sweden, Denmark, and Norway, covering Samhall, flexjobs, wage subsidies, and what other countries can learn from the Nordic model.

Nordic Countries: Disability Employment Models in Sweden, Denmark, and Norway

Introduction

The Nordic countries are often held up as exemplars of inclusive social policy, and their disability employment systems reflect this reputation. Rather than relying on employment quotas, Sweden, Denmark, and Norway emphasise wage subsidies, adapted employment, and active labour market programmes designed to support each individual's path into work. This article examines the distinct models in each country and identifies what the rest of the world can learn.

Sweden

Sweden's disability employment model combines a state-owned employer focused on people with disabilities, wage subsidies administered by the Public Employment Service, and a personal assistance framework that follows the individual rather than the job.

Samhall

Samhall AB is owned by the Swedish state, and its main mission is to create developing jobs for people with disabilities and in that way give them a place in the regular labour market. With more than 24,000 people working there, Samhall describes itself as the company with the most employees in Sweden. Samhall provides work in sectors including cleaning, care, logistics, and manufacturing.

Key features of the Samhall model:

  • The Public Employment Service (Arbetsförmedlingen) decides who gets a job at Samhall in its core mission; everyone hired this way has some form of disability.
  • The goal is transition: Samhall aims to develop employees' skills and move them into mainstream employment. One of its goals is that at least 1,500 employees per year leave Samhall for other employers.
  • Samhall operates commercially, producing goods and services that customers demand, and reinvests its surplus in the company, including in training and development for its employees.

Criticism: Some argue that Samhall has become a permanent employer rather than a stepping stone, and that its commercial pressures sometimes conflict with its social mission.

Wage Subsidies (Lönebidrag)

Sweden offers wage subsidies to employers who hire workers whose disability reduces their work capacity. Arbetsförmedlingen (the Swedish Public Employment Service) administers three forms of lönebidrag:

  • Lönebidrag för utveckling i anställning (wage subsidy for development in employment): supports adapting the work and targeted development efforts that increase the person's work capacity.
  • Lönebidrag för anställning (wage subsidy for employment): supports adapting the work and increasing work capacity.
  • Lönebidrag för trygghet i anställning (wage subsidy for security in employment): also supports adapting the work and increasing work capacity, and can be granted for a longer period.

The level of the subsidy depends on the wage cost and the person's assessed work capacity, and it can be paid on the part of the wage cost up to a gross salary of SEK 20,000 per month for full-time work. A first decision covers at most one year, and further periods can be granted if the need for adaptation continues.

Personal Assistance (Personlig assistans)

Under the LSS (Lagen om stöd och service till vissa funktionshindrade — the Act Concerning Support and Service for Persons with Certain Functional Impairments), people with extensive support needs — on average more than 20 hours a week of help with basic needs — can receive assistance compensation (assistansersättning) from Försäkringskassan to pay for a personal assistant. People whose needs are below that level are referred to their municipality.

Because this support is publicly funded and attached to the individual, the cost of personal support is separated from the employer, removing a major barrier to hiring.

Arbetsförmedlingen Support Services

The Public Employment Service also provides:

  • Grants to employers for buying or renting individual assistive devices and adapting work equipment or the workplace
  • SIUS (Särskild stödperson för introduktions- och uppföljningsstöd): a specialised employment officer who supports a jobseeker with a disability during introduction to a job, for up to six months

Denmark

Denmark's approach centres on the flexjob scheme — one of the most distinctive disability employment tools in Europe — combined with social enterprises and mentoring support.

Flexjobs (Fleksjob)

The flexjob scheme is for people who, because of a permanently and substantially reduced work capacity, cannot obtain or keep employment on normal terms. The rules were changed significantly in 2013; people employed in a flexjob before 1 January 2013 continue on their previous terms.

How it works:

  1. The municipality assesses whether the person's work capacity is substantially and permanently reduced.
  2. The individual is employed by a regular employer, with tasks and working hours adapted to what they can manage.
  3. The employer pays wages only for the work the employee actually performs.
  4. The municipality supplements the wage with a fleksløntilskud (flex-wage subsidy) that is adjusted according to the wage income. Total income can at most correspond to the full-time wage for the position.

Key advantages of the flexjob model:

  • The employer's cost is proportional to the work actually done, reducing the perceived risk of hiring someone with reduced capacity.
  • The worker has a real job in a real workplace, not a sheltered setting.
  • A flexjob is in principle temporary: after 4½ years in a flexjob, the municipality must assess whether the person is still eligible.
  • In June 2025, 99,737 people were employed in flexjobs in Denmark (plus 16,262 unemployed people approved for a flexjob), up from about 71,000 people in the scheme at the end of 2013.

Social Enterprises and Mentor Schemes

Denmark supports social enterprises (socialøkonomiske virksomheder). Since 1 January 2015, businesses that meet the criteria in the Act on Registered Social Enterprises have been able to register as a Registered Social Enterprise (RSV), a label administered by the Danish Business Authority (Erhvervsstyrelsen).

The mentor scheme (mentorordningen) is available to anyone who has a decisive need for a mentor to obtain or complete a job or employment-related programme. The municipality can grant a subsidy to the company covering the wage costs of freeing up the employee who acts as mentor, or a fee for an external consultant.

Rehabilitation and Reintegration

Denmark previously offered a cross-disciplinary resource pathway (ressourceforløb) for people at risk of long-term exclusion from the labour market. Ressourceforløb was abolished on 1 February 2026; people granted a resource pathway by 31 January 2026 can complete it under the previous rules.

Norway

Norway combines social insurance with active labour market policies designed to keep people connected to employment.

Arbeidsavklaringspenger (AAP) — Work Assessment Allowance

AAP is a benefit for people whose work capacity is reduced by at least 50% due to illness or injury and who need treatment or help from Nav to get or keep a job. As a general rule it can be received for up to 3 years, with extension possible in certain situations. During the AAP period, the person takes part in work-oriented activity or medical treatment.

AAP provides 66% of previous income, up to 6 times the National Insurance basic amount (6G). At the end of the second quarter of 2026, 168,600 people received AAP from Nav — 4.7% of the population aged 18–66.

Varig tilrettelagt arbeid (VTA) — Permanently Adapted Work

VTA is an offer for people who receive disability benefit (uføretrygd), providing work with adapted tasks in either:

  • A sheltered enterprise (skjermet virksomhet), where participants contribute to producing goods and services and can take leave to try out work in a regular company.
  • A regular enterprise (ordinær virksomhet). In 2025 the government consulted on a proposal for reinforced follow-up for VTA participants in regular enterprises.

VTA lasts for as long as the person needs it.

Nav (Norwegian Labour and Welfare Administration)

Nav is the agency responsible for employment services, social insurance, and disability benefits. For disability employment, Nav provides:

  • Wage subsidies (lønnstilskudd): a temporary wage subsidy covers 60% of the wage for up to one year (then 50%) for people with reduced work capacity, and a permanent wage subsidy (varig lønnstilskudd) for people with permanently reduced work capacity covers at most 75% of the wage in the first year and at most 67% thereafter.
  • Assistive technology and workplace adaptation: Nav lends aids through the Nav hjelpemiddelsentral (assistive technology centre) in each county, and can provide services such as functional assistance, reading and secretarial help, or a mentor.
  • Supported employment: Individuell jobbstøtte (IPS), a collaboration between Nav and the health service in which a job specialist in the person's treatment team helps people with mental health or substance use problems get or keep a job.
  • Mentoring: a Nav subsidy to free up a colleague who helps the person master the job.

Uføretrygd (Disability Benefit) and Work Incentives

Norway's disability benefit (uføretrygd) generally requires at least 50% reduced earning capacity. The system is designed to allow work alongside the benefit:

  • People with income alongside the benefit receive a graded benefit based on how their income compares with their earnings before disability.
  • An allowance (fribeløp) lets recipients earn some income before the benefit is reduced: 0.4G during the first 24 months, then 1G (1G = NOK 136,549).
  • Above this, payments are reduced gradually rather than stopped; recipients keep the right to the benefit up to an annual income ceiling, and payments increase again if income falls.
  • This reduces the "benefit cliff" that discourages work in many other countries.

What Other Countries Can Learn from the Nordic Model

1. Separate Disability Support Costs from Employer Costs

The Nordic approach funds disability support (personal assistance, wage subsidies, assistive technology) through public systems, so employers bear mainly the costs of the work actually performed. This reduces the financial disincentive to hire.

2. Flexibility Over Rigidity

The Danish flexjob model demonstrates that adjusted hours and tasks, with public wage supplementation, can create employment where rigid full-time expectations would fail.

3. Transition as a Goal, Not Just Placement

Sweden's Samhall model shows that adapted employment can be designed as a pathway to mainstream work, not just a destination. Setting transition targets keeps the focus on development.

4. Combine Income Security with Work Incentives

Norway's graded disability benefit shows how a system can avoid punishing people for earning. Benefit cliffs are the enemy of gradual workforce participation.

5. Invest in Active Support

All three countries invest in job coaching, mentoring, vocational rehabilitation, and supported employment — not just passive benefits.

Challenges and Limitations

The Nordic model is not without problems:

  • Cost: These programmes require significant public expenditure, which not all countries can match.
  • Employment gaps persist: Despite extensive support, the disability employment gap (ages 20–64) in 2025 was 23.5 percentage points in Denmark, 22.6 in Sweden and 23.8 in Norway — close to the EU average of 24.2 (Eurostat).
  • Sheltered work remains: VTA in Norway and Samhall in Sweden still employ many people in settings that critics describe as segregated.
  • Cultural context: The high-trust, strong-union, comprehensive-welfare-state context of Nordic countries may not transfer directly to other institutional environments.

Conclusion

The Nordic disability employment models — Sweden's Samhall and wage subsidies, Denmark's flexjobs, Norway's AAP and VTA — represent some of the most developed approaches in the world. Their core insight is simple: if you reduce the financial risk of hiring someone with a disability and provide ongoing support, employers are more willing to hire and disabled people can work. Other countries can adopt this principle even without replicating every programme.

Resources

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