The aim of this project was to review the literature in relation to how moral injury is conceptualised, models of moral injury, linkages between moral injury and common mental health issues, and the effectiveness of moral injury interventions in veteran and military populations.

In order to answer these questions, a narrative literature review and a REA were conducted.

The aim of this Rapid Evidence Assessment (REA) was to conduct a literature review of adverse sexual and reproductive health outcomes in men from occupational exposure to specified solvents relevant to the Australian military.

The Report of the Expert Panel to Review SAS Veterans’ Health Concerns and the Government's response were released in March 2004.

The health study was initiated in December 2002 to identify and document exposures of concern arising through Special Air Services (SAS) operational skills enhancement and training, and to examine their possible adverse effects. The Review also considered the need for further research and whether any particular matters should be drawn to the attention of the Repatriation Medical Authority (RMA).

An independent Expert Panel conducted the study. The Panel was chaired by Professor Ken Donald, who was also Chairman of the Repatriation Medical Authority, and included experts in the fields of toxicology and genetics.

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.

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.

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.

This Comparative Literature Review was the first research project to involve collaboration between the Departments of Veterans’ Affairs of the United States of America (US) and Australia, and was funded by the Australian Department of Veterans’ Affairs.

The review aimed to gain an understanding of the differences and similarities between post-1990 military deployment contexts, health impacts and veterans’ health care systems in Australia and the US.

By reviewing and analysing existing research and publicly available data, the study found that:

The US deployed significantly more personnel to each of the conflicts. US personnel in the Gulf War were more likely to experience direct combat than Australian personnel. The US also maintained a longer presence in Somalia compared to Australia.

Overall rates of posttraumatic stress disorder were similar between Australia and the US.  Prevalence estimates for US veterans of Iraq tended to be higher compared to Australian veterans, and prevalence estimates for Australian Somalia veterans appeared to be higher than in US veterans.

Gulf War veterans from both countries had a reduced risk of suicide compared with respective general populations.  US veterans of Iraq and Afghanistan had high estimated rates of suicidal ideation.  

Estimates of multisymptom illness were lower for Australian Gulf War veterans compared to US Gulf War veterans.

Traumatic brain injury prevalence estimates in Australian Afghanistan/Iraq War veterans were at the low end of those reported in US studies.    

The two countries’ healthcare systems were similar in range of services, focus on mental health, and increasing use of technology. The systems were different in method of service provision and financial structure.

This study was a preliminary overview covering a range of deployments and health and social outcomes.  While it gives an accurate summary of the published literature, it did not test for the statistical significance of differences in health outcomes between different populations.