This report investigates technology and its use for physical and mental health programs.

The Technology Use and Wellbeing Report is one of the first studies worldwide to investigate the use of the internet and new and emerging programs and technologies that support the wellbeing and mental health of serving and ex-serving military members. Specifically, this report investigates technology and its use for physical and mental health programs, including implications for future health-service delivery in the ADF and veteran community.

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. The Programme is made up of three studies, with this report comprising part of the Mental Health and Wellbeing Transition Study. The other two studies are Impact of Combat and Family Wellbeing.

This Mental Health Prevalence Report is the first of eight reports and two papers that comprise the Transition and Wellbeing Research Programme (the Programme). The Programme is the most comprehensive study undertaken in Australia on the impact of military service on the mental, physical and social health of Transitioned and 2015 Regular Australian Defence Force (ADF) members and their families (the study populations).

This report investigates the prevalence of 12-month and lifetime mental disorders, trauma exposure, suicidal ideation and self-reported mental health symptoms among Transitioned ADF members. Comparisons are also made between the self-reported mental health symptoms in Transitioned ADF with 2015 Regular ADF members and where possible, with the Australian Community.

The second report in the Programme, Pathways to Care, tells the next phase in the ADF mental health story by investigating how Transitioned ADF and 2015 Regular ADF members access, use and value mental health care services.

The Strategic Research Framework (SRF) sets out the principles, objectives and priorities for DVA to facilitate research and evaluation in areas of special strength or need as identified in priority research areas. Research and analysis help to identify emerging issues facing the veteran and defence communities and their families, and are integral to developing effective departmental policy, shaping service delivery responses, and evaluating programs and pilots.

This comprehensive report compares mental health care support in the Australian Defence Force (ADF) with world’s best practice and assessed the extent to which the mental health needs of serving and transitioning ADF members were being met.

Independent studies by Professor David Dunt

In addition to undertaking the Independent Study into Suicide in the Ex-service Community, Prof. Dunt was also appointed by the then Minister for Veterans Affairs’, the Hon Alan Griffin MP, and the Minister for Defence Science and Personnel, the Hon. Warren Snowdon MP, to undertake the Review of Mental Health Care in the ADF and Transition through Discharge.

The review was released on Friday, 1 May, 2009, along with the Government’s response.

Prof. Dunt’s comprehensive report compared mental health care support in the Australian Defence Force (ADF) with world’s best practice and assessed the extent to which the mental health needs of serving and transitioning ADF members were being met.

The review highlighted successes and gaps in the delivery of mental health programs and transition services and made 52 recommendations to improve and extend delivery of those services.

The final report, Research into the Toxicological Effects of Chemicals used in the F-111 Deseal/Reseal (DSRS) Programs, was completed in 2005. The study was undertaken by the University of Sydney to examine the toxicological effects of chemicals used in the F-111 DSRS programs, in particular the chemical SR-51. The aims of the study were to examine the toxicological effect of SR-51 on memory loss in mice, the effect of temperature changes on the toxicity profile of SR-51 and whether SR-51 caused cancer through the process of DNA damage.

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.

The final report, Oberon Class Submarine Occupational Hygiene Project, was submitted by the Centre for Military and Veterans’ Health to the Australian Government Department of Defence on 28 February 2006. The study retrospectively developed an exposure profile for the submariners. This was done by triangulating information from many sources, including available scientific and technical literature, assessment of the decommissioned HMAS ONSLOW by two senior occupational hygienists and two focus group sessions with Submariners.

Although documentation of occupational hygiene assessments during operation of the Oberon Class Submarines was very scarce, the report detailed numerous hazards experienced by the submariners.  These include air quality, including diesel fumes and exhaust, carbon monoxide and lack of oxygen, psychological, musculoskeletal and noise hazards.

On 10 November 2006 representatives from the Department of Veterans’ Affairs, Repatriation Medical Authority (RMA), Department of Defence and Centre for Military and Veterans’ Health met with members of the Submariners Association at the Sydney DVA offices to discuss the reports findings. Representatives of the Submariners Association indicated that they felt the report was an accurate reflection of the nature of workplace conditions faced by submariners.

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.