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.

As part of the Government response to the 'Independent Study into Suicide in the Ex-service Community', DVA commissioned the Australian Institute of Suicide Research and Prevention to undertake a review of the Operation Life Suicide Awareness workshops to ensure they were evidenced based. DVA accepted all recommendations made in the final report. 

The project analyses the educational choices made by Australian Defence Force (ADF) veterans. It studies the success of their subsequent labour market outcomes, compared to those who returned to the ADF after training, and compared to the broader group of civilians who undertook the same type of training, and with whom they will be competing in the civilian labour market. The project aims to provide young veterans with information on their future labour market prospects arising from investments in further education through Vocational Education and Training (VET).

On 9 September 2013, the Department of Veterans’ Affairs (DVA) commissioned a study into firefighter exposures in response to health concerns voiced by ex-serving Royal Australian Air Force (RAAF) firefighters and a concurrent legislated review of the Fair Protection for Firefighters Act 2011 by the Department of Employment. DVA and the Department of Defence have continued to liaise closely with firefighter representatives over the course of this and other related research into the firefighter occupation and fuel exposure.

The Firefighter Case File and Literature Review were carried out in two parts to address occupational health and compensation matters:

Firefighter Literature Review

Dr Tee Guidotti conducted the Firefighter Literature Review, which was a systematic review of international literature in relation to civilian and military firefighters. Specific consideration was given to occupational exposure of RAAF firefighters to chemical contaminants listed at the Point Cook fire training ground, as provided by Chief of Air Force.

Dr Guidotti is an international expert in the field of occupational health risks for firefighters and has published extensively in this field.

To guide the research, Dr Guidotti worked with Dr Graeme Peel, who undertook a compensation and health file examination of 71 cases of ex-serving or serving Australian Defence Force (ADF) firefighters. Dr Peel is a specialist in occupational and public health.

Dr Guidotti used a benchmark of “weight of evidence” to assess the literature. This is a concept that does not equate easily to the standards of proof in Australian legislation for veterans.

The report has been provided to the Repatriation Medical Authority, which indicated it would undertake routine monitoring of the medical literature to ensure further associations between firefighter employment and conditions can be identified.

In the mean time, firefighter group representatives and DVA are advising individuals to claim diagnosed conditions they believe may have been caused by their Defence service through DVA.

Case File Review

Dr Peel independently reviewed Defence service and medical records and DVA compensation files for 71 serving or ex-serving RAAF-trained firefighters or firefighters who served at Amberley. The reason for the review was to ascertain if there are any claims DVA had rejected that may now be recognised, if there are any decisions on claims that need to be reconsidered, and whether there are any previously unrecognised clusters or trends in conditions.

Firefighters should lodge claims to DVA for diagnosed conditions they believe may be related to their military service.

The Department of Defence and the Department of Veterans’ Affairs commissioned The University of Queensland to use data from 2007/8 studies of deployment to East Timor, Bougainville and the Solomon Islands to investigate the issue of anti-malarial drugs and long-term health.

This report presents the results of a descriptive analysis of self-reported anti-malarial drug use on deployment and self-reported physical and mental health. The analysis focused on the East Timor and Bougainville studies.

The purpose of this report is to collate evidence gleaned from the international research literature, as well as the personal experiences of claimants, family members, and the Department of Veterans’ Affairs (DVA) personnel, in order to inform our understanding of the relationship between applying for compensation and adverse mental health outcomes.

The overall aim of this project was to compare the health and use of health services of women in their 70’s and 80’s who are DVA Gold Card holders, or wives of DVA Gold Card holders, with similarly aged women in the general community who have no connections with DVA. The Centre for Military and Veterans’ Health (CMVH) conducted this project, with the data sourced from the Australian Longitudinal Study on Women’s Health (ALSWH) which includes a random sample of over 10,000 women born 1921-26.

Conducted by the Australian Institute of Health and Welfare (AIHW) in 2002, this report summarises the results of a study which examined the characteristics and service profile of recipients of Community Aged Care Packages (CACPs) who held a DVA gold or white card and compared this group and those who did not have a DVA gold or white card. It is based on an analysis of data collected through a census of CACP care recipients.