They are ever on the alert vis-à-vis their daughter, suffer loneliness and feel that the eating disorder is taking over their home.

The ALERT training programme raised the competence level of healthcare personnel in the municipal health service and is likely to have increased their job satisfaction.

The model helped to ensure that work placement supervisors were better prepared to welcome students, and this strengthened the quality of learning. However, this requires management support, as well as planning and professional resources.

Healthcare personnel can make decisions about the admission basis and treatment needs or hold care coordination meetings with the service user, and the community mental health centre and municipalities can establish accountability or negotiate responsibility, and determine which measures to implement.

The registered nurses demonstrated a higher level of competence than the nursing associates and healthcare assistants. However, scores were too low in all three groups in response to emergency scenarios.