A reform package in the 2018–19 Budget provided funding to further improve our dental and allied health services through a number of initiatives.  Below are reports relating to the Treatment Cycle Evaluation and Desktop Analysis of Alternative Funding Models for Allied Health Services.

The Tasmanian Feasibility Study, commissioned by the Commonwealth and Tasmanian Governments, engaged with stakeholders, including veterans and their families, Ex-service Organisations and service providers to collect data on the current service delivery environment in Tasmania.

The study shows support for more accessible localised services for veterans and their families in Tasmania. 

This Rapid Evidence Assessment investigates the research literature analysing the risk factors for ex-serving personnel entering corrective services systems in Australia and/or other relevant jurisdictions. The report examines and synthesises recent research evidence regarding risk factors for entry into corrective services systems by ex-serving personnel across the United States, the United Kingdom and Australia.

This report overviews and contextualises the Mental Health and Wellbeing Transition Study methodology, describes the study populations and presents the key findings from the first two technical reports of the Study, Mental Health Prevalence and Pathways to Care. The Mental Health and Wellbeing Transition Study is one of three studies that comprise the Transition and Wellbeing Research Programme.

Independent studies by Professor David Dunt - As part of its election commitment, the Australian Government committed to conduct a study to examine the broad issue of suicide in the ex-service community, including a number of specific cases of suicide over the past three years, to help identify the following:

• ex-service members who are at increased risk of self harm
• common contributing factors among ex-service members who have committed or attempted suicide
• the extent of suicide in the ex-service community
• lifestyle or other factors that may be contributing to suicide in the ex-service community
• recommended administrative reforms or initiatives to help combat suicide in the ex-service community.

The Government appointed Professor David Dunt to undertake the study. Professor Dunt is a public health specialist and epidemiologist with major interests in health program evaluation and health services research.  He was also appointed to conduct the Review of Mental Health Care in the Australian Defence Force and Transition through Discharge (Defence website).

Prof. Dunt presented his study to the Minister for Veterans’ Affairs in February 2009. The Minister announced the Government’s response (PDF 149 KB) in May 2009.

Terms of reference

The terms of reference for the study were developed in consultation with the National Veterans’ Mental Health and Wellbeing Forum.

See: Suicide study terms of reference (PDF 47 KB)

The Department of Veterans’ Affairs (DVA) commissioned Dr Samantha Crompvoets to lead a study in 2009 into the health and wellbeing of female Vietnam and contemporary veterans. The study was completed in 2012. The report’s findings were based on in-depth interviews with 60 female veterans and 30 workers in the female veteran health and wellbeing field, as well as reviews of previous research.

The ADF Service Women Steering Committee report and joint Defence/DVA response 

The Departments of Veterans’ Affairs and Defence jointly established the ADF Service Women Steering Committee (the Committee) to provide recommendations for improving Defence and DVA services for current and former ADF members. The Committee’s membership included current and former soldiers, sailors and air women (regular/permanent and reserve).

The Committee considered Dr Crompvoets’ report and discussed practical ways to improve current and former ADF service women’s access to services.

The Committee concluded that there are no major gaps evident in Defence or DVA services for current and former ADF service women, but identified that there was a lack of awareness by women of available support and services.

The Committee also found that significant changes have occurred with the services provided by Defence and DVA during and since Dr Crompvoets’ study that have enhanced care and support for contemporary veterans, including female veterans, and their families.

The Committee made 24 recommendations. DVA and Defence have accepted the majority of the Committee’s recommendations and will continue to work together to improve responsiveness to the needs of women who serve or have served our nation.

The ADF Service Women Steering Committee

With approximately 14 per cent of the Australian Defence Force (ADF) being female, female veterans are making up an increasing proportion of DVA clients. In 2012, an average of 345 females served on overseas operations at any given time, with their roles including logistics, health, communications, transport, signals, engineering and intelligence. The start of 2013 saw the ADF open all employment categories to servicewomen and a new Army recruitment campaign to increase the number of women serving over the next 12 months.

More than 11 000 veterans with one or more accepted conditions under any Act administered by DVA are female. In the last few years the Department has significantly improved services for contemporary veterans, including female veterans. DVA and Defence have also recognised that female veterans have unique requirements and so have established an ADF Service Women Steering Committee to inform both departments of the specific needs of women.

The committee is co-chaired by Gayle Anderson, Assistant Secretary Service Development and Defence Relations Branch (DVA) and MAJGEN Gerard Fogarty AO, Head of People Capability, Defence. Membership includes female current and former serving members (both regular and reserve) who have deployed on operations to Somalia, Timor Leste, Iraq and Afghanistan.

The committee is considering a broad range of information, including research by Dr Samantha Crompvoets of the Australian National University which was funded through DVA’s Applied Research Program. The study, completed in 2012, was commissioned to look at the needs of the growing number of female veterans. The report from this study into the health and wellbeing of female Vietnam and contemporary veterans is available on the DVA website.

The ADF Service Women Steering Committee has met three times between May 2013 and 30 June 2013 and will continue to meet regularly until August 2013, after which the Committee will report to the Repatriation and Military Rehabilitation and Compensation Commissions with recommendations to further guide service design.

The context in which the Department of Veterans’ Affairs (DVA) operates is changing. Younger clients, changing demographics, differing needs and expectations, and technological advances mean new ways of doing business. As part of its overall strategic planning, DVA is presently developing a number of improved models of service delivery focused on meeting the needs of current client target groups.

The report matches DVA administrative data with community data from the Student Outcomes Survey (SOS) and the Household Income and Labour Dynamics in Australia (HILDA) survey, to better understand potential workforce outcomes for DVA clients. The report provides a predictive analysis of the impact that health conditions, medical discharge status, and service type, have on a veteran’s ability to look for and participate in work assuming community trends apply to veteran groups. The findings are not based on actual veteran employment outcomes. Nevertheless, the study is informative of potential outcomes. DVA’s rehabilitation program is aligned with the study findings.

It is important to note that the findings should be read in context of the report and as they are general in nature, they should not be considered applicable at an individual level. A one page overview of the study is also attached.

Further information:

• Quick Facts Sheet (PDF 125 KB)
• Quick Facts Sheet (DOCX 255 KB)

DVA commissioned this study in 2011 to gain a better understanding of the experiences of reservists. The field-based component of the study consisted of face-to-face, semi-structured interviews with 39 ADF reservists, primarily from the Army with a smaller number from the Air Force. The text-based component centred on a review of the academic literature, as well as a review of historical documents and an inventory of support services available to reservists.

The study found that reservists vary in the way they understand their reservist identity. Some identify more with a ‘full-timer’ identity and feel a close connection with ADF membership and military skills, while some identify more as a ‘part-timer’ and place stronger emphasis on their civilian professional skills. The researcher found that the extent to which reservists identify with the ADF can affect outcomes including their health and wellbeing, cohesion with their unit and accessing of support services.

The reservists study has provided DVA with useful information about the experiences and needs of a sample of contemporary reservists. As a qualitative pilot study, the report is exploratory in nature. It does not quantify the extent to which the views expressed by the participants would be shared among reservists and reservist veterans more generally. Nevertheless, the report provides a useful understanding of issues experienced by the reservists interviewed and identified in the academic literature.

The report has informed DVA’s understanding of how reservists identify and the potential implications of this for DVA’s communication and engagement with reservists. It has also informed a focus on reservists in planning future DVA research. On 11 June 2014, the Government announced a joint DVA/Defence Transition and Wellbeing Research Programme which includes a nested study on reservists.

Reservists can access similar DVA support and services to those available to Permanent ADF members. For details on reservists’ entitlements, please see DVA website and/or the Claims for reservists. Reservists who are in doubt about what DVA services or support they could access are encouraged to contact DVA.

Findings from the 2006 Survey of Veterans, War Widows and their Carers

This study of the health and wellbeing of veterans and war widow(er)s has found that they are generally fit and healthy with active social lives despite most being over 75 with chronic conditions that limit their mobility and communication.

The Your Lives, Your Needs 2006 survey—the fifth time the survey has been undertaken—involved more than 2,000 veterans and war widows(er)s and 300 of their carers. For the first time it included younger veterans, surveying 400 covered by the Safety, Rehabilitation and Compensation Act 1988.

The survey had a broad scope, covering many aspects of veterans’ health and wellness, including lifestyle choices, levels of independence, health status and the use of community services.

More than half of the veterans and war widows reported that they had received some kind of community service in the previous six months. Vision impairment was the most commonly reported health condition. About 300 of the interviewees, or one in seven, reported that they had a carer. Carers were more likely to assist older veterans and war widows take medicine and dress their wounds.

The SRCA clients reported generally less satisfactory social activity, citing poor health as the major barrier. Mobility was a major issue for this group. Many had young children and this group was twice as likely to have a carer than the older veteran group. The carer’s main role was to do the household shopping.

A booklet of the Your Lives, Your Needs 2006 survey results has been distributed to participants and veterans’ stakeholders groups.