The project aims to develop preventive strategies that avoid individual symptom treatment and ensure sustainability in four small / medium sized service and production enterprises. The project builds on the fact that an understanding of strategies for prevention of stress must be developed jointly by managers, employees and other relevant stakeholders. The development process must be based on shared reflections, where tacit knowledge about causes and solutions are explicit. Thereby the intend of the project is to provide a basis for preventive solutions and sustainability, which is based on the daily practice of the companies. There will also be a continuous common reflection on the process that creates the basis for ongoing adjustments.