In 1991 the Social Insurance Institution Rehabilitation Act introduced a wo
rking capacity sustaining and improving training programme (TYK). The goal
of this programme is to sustain the physio-psycho-social competences of old
er workers and employees by creating a chain of in-house rehabilitation pha
ses and training phases at the workplace. We describe the programme in its
early state of implementation. Two years after entering the proramme 17 pat
ients were working, six were on sick leave, three were out of work, 16 were
on pension, and six patients could not be retrieved.