Results from the third study of mortality and cancer incidence among F-111 aircraft maintenance personnel, commissioned by the Australian Government Department of Veterans' Affairs, were released on 20 February 2009 by the Australian Institute of Health and Welfare (AIHW).

The report, Third study of mortality and cancer incidence in aircraft maintenance personnel: A continuing study of F-111 Deseal/Reseal personnel, is a follow-up study into mortality and cancer incidence in aircraft maintenance personnel involved in the F-111 aircraft Deseal/Reseal (DSRS) programs between 1977 and 1999. Findings from this study are consistent with the 2004 study. Findings indicate that although overall cancer incidence in men who were involved in DSRS programs was higher than the Australian male population, the numbers were too small to be statistically significant. Additionally, overall mortality was lower for DSRS personnel when compared with the Australian male population.

The AIHW believes that the small numbers make interpretation of these results inconclusive and recommends that the study be repeated in 2011 when more data will be available to improve certainty about the findings.

This report was funded by the Department of Veterans’ Affairs to assess available literature on the psychological and vocational outcomes of delivering support services to the families of veterans at times of high family stress. The review considered interventions being provided to veterans in Australia, and other English speaking countries who may have similar veteran experiences.  

The literature review was undertaken in the context of the growing body of research and policy evidence suggesting that veterans can be challenged by transition from the Australian Defence Force (ADF) into civilian life, with a consequential direct negative impact on the wellbeing of the veteran and family members. The aim of this literature review was to examine available peer reviewed research regarding the support available to families of veterans in order to inform the establishment of a policy framework.

• The review yielded 34 results, primarily considering the experiences of veterans and their families in the United States. The absence of peer-reviewed literature from New Zealand, Canada and the United Kingdom highlights that this topic is one that is still in its infancy.
• Overall, studies indicated that family involvement in care was most definitely a contributing factor to veterans achieving positive psychological and interpersonal outcomes. The review noted that younger veterans, in particular, liked the message of family involvement, the use of digital support tools and therapy that accommodated childcare needs.
• While the literature highlights some potential programs which could assist Australian veterans and their families, including online education tools for adults and children, the need for further research in this area is apparent, specifically in the Australian context.

The Physical Health Status Report provides a comprehensive, high-level overview of the physical health and wellbeing of ADF personnel who transitioned between January 2010 and December 2014 and members of the 2015 Regular ADF in connection with several key health outcomes previously found to be of importance among deployed and non-deployed military and veteran populations in Australia and internationally.

This report is part of the Transition and Wellbeing Research Programme (TWRP), which is the most comprehensive study undertaken in Australia on the impact of military service on the mental, physical and social health of serving and ex-serving ADF members and their families. The Programme is made up of three studies, with this report comprising part of the Mental Health and Transition Study. The other two studies are Impact of Combat and Family Wellbeing.

This study investigated the health of Australian veterans of deployments on United Nations sanctioned peacekeeping missions to Rwanda, Somalia, Cambodia, Namibia, Western Sahara and East Timor over the period 1989-2002.

The study examined the long-term effect of peacekeeping on the mental and physical health status, health service use and quality of life of veterans who had transitioned out of full-time service.

The study found that 65% of peacekeepers reported they were in good, very good, or excellent health.  However, 30% of peacekeepers had at least one diagnosable mental health condition.

The research provides a better understanding of the long-term pathways to care and usage of health care services for peacekeepers.

The health impacts of maternal deployment to an area of operations

The Mothers in the Middle East Area of Operations (MEAO) Study identifies health outcomes and psychosocial factors, including resilience, that impact on Australian servicewomen with dependent children who deploy and ways in which mothers could be better supported during and following deployment.

The report of the Fourth study of mortality and cancer incidence in aircraft maintenance personnel:

A continuing study of F-111 Deseal/Reseal personnel, was released on 17 October 2016 by the Australian Institute of Health and Welfare (AIHW). The broad purpose of this follow up MCIS study was to see if there was a higher rate of cancer or mortality among Royal Australian Air Force (RAAF) and civilian aircraft maintenance personnel involved with F-111 Deseal/Reseal (DSRS) between 1974 and 2000 compared to other RAAF personnel who were not involved.  

The key findings are broadly consistent with the previous studies taking into consideration the additional years of follow-up and differences in the datasets. The latest study added information from ‘Tier classifications’ to identify more personnel in the study group. 

Higher cancer incidence and lower mortality incidence among the F-111 DSRS group was found to be statistically significant due to the greater number of cases that have occurred over time.

The Family Wellbeing Study focuses on how families are faring at two of the major stages of a military career: during service, and in the first years after the transition to civilian life. An additional focus is how differing types of family members are faring — spouses/partners, adult children and parents.

This report is part of the Transition and Wellbeing Research Programme, which is the most comprehensive study undertaken in Australia on the impact of military service on the mental, physical and social health of serving and ex-serving ADF members and their families.

This project was commissioned to add to the field of research arising from the Mental Health in the Australian Defence Force: 2010 Australian Defence Force Mental Health Prevalence and Wellbeing Study (MHPWS).

One aim of the MHPWS was to refine methods for detecting mental health conditions in the Australian Defence Force population, including the use of the Kessler Psychological Distress Scale (K10).

This project explored further the potential for identifying specific K10 screening cut-offs to maximise early intervention, and K10 epidemiological cut-offs to accurately monitor prevalence of disorders over time, using Australian Bureau of Statistics (ABS) health survey data.

Final Report for the DVA Lifecycle Review

The mental health Lifecycle Initiatives were implemented as a 2008-09 budget measure. The goals included enhancing psychological resilience among service personnel, improving mental health surveillance, supporting successful transition from defence to civilian life, and providing effective rehabilitation and support. The purpose of the current analysis was to consider the implications of the project outcomes, as well as to examine the usefulness of the lifecycle concept for future policy and program development. This document is a discussion paper designed to raise issues for consideration. It is not intended to provide specific recommendations. 

The Lifecycle Initiative outcomes were reviewed and interviews conducted with the Department of Veterans’ Affairs (DVA) and Defence stakeholders. Key themes were identified and used to guide both a literature review and consultation with overseas military and veteran mental health experts. The material was then integrated for consideration by key DVA and Defence personnel.

Allostatic Load: A Review of the Literature was funded under the Department of Veterans' Affairs, Applied Research Program and conducted by the Centre for Military and Veterans’ Health.

The report summarises the concepts of homeostasis, allostasis and allostatic load, how chronic stress leads to allostatic load, and examples of the physical and mental conditions which correlate with allostatic load. Allostatic load is an evolving model and only one of several models devised to examine and understand the long term health effects of stress. The model cannot explain all causes of ill-health and disease, however it is emerging as a useful model for investigating how stress experienced during military service may impact negatively on health. There are significant opportunities to improve our understanding of measurement tools and the myriad of challenges related to establishing causality between stress and longer term health outcomes.