DVA commissioned Gallipoli Medical Research Foundation (GMRF) to undertake a rolling Rapid Evidence Assessment (REA) of emerging and adjunct treatments for post-traumatic stress disorder (PTSD) and common mental health conditions affecting veterans. The emerging treatments were psychedelic interventions (i.e., ketamine; methylenedioxymethamphetamine, MDMA; lysergic acid diethylamide, LSD; psilocybin; and dimethyltryptamine, DMT, including ayahuasca), medicinal cannabis, d-cycloserine (DCS), stellate ganglion block (SGB), and transcranial magnetic stimulation (TMS, including theta-burst stimulation, TBS). The initial REA was delivered in a tranche of seven individual reports in 2022. Four update reports were contracted at 6-monthly intervals to incorporate the most up-to-date information from newly published studies. The goal of the REA was to provide an evidence base to develop a flexible, yet robust, decision-making process that allows DVA to assess emerging treatments for veterans who have not responded to evidence-based treatments.

DVA commissioned Gallipoli Medical Research Foundation (GMRF) to undertake a rolling Rapid Evidence Assessment (REA) of emerging and adjunct treatments for post-traumatic stress disorder (PTSD) and common mental health conditions affecting veterans. The emerging treatments were psychedelic interventions (i.e., ketamine; methylenedioxymethamphetamine, MDMA; lysergic acid diethylamide, LSD; psilocybin; and dimethyltryptamine, DMT, including ayahuasca), medicinal cannabis, d-cycloserine (DCS), stellate ganglion block (SGB), and transcranial magnetic stimulation (TMS, including theta burst stimulation, TBS). The initial REA was delivered in a tranche of seven individual reports in 2022. Four update reports were contracted at 6-monthly intervals to incorporate the most up-to-date information from newly published studies. The goal of the REA was to provide an evidence base to develop a flexible, yet robust, decision-making process that allows DVA to assess emerging treatments for veterans who have not responded to evidence-based treatments.

DVA commissioned Gallipoli Medical Research Foundation (GMRF) to undertake a rolling Rapid Evidence Assessment (REA) of emerging and adjunct treatments for post-traumatic stress disorder (PTSD) and common mental health conditions affecting veterans. The emerging treatments were psychedelic interventions (i.e., ketamine; methylenedioxymethamphetamine, MDMA; lysergic acid diethylamide, LSD; psilocybin; and dimethyltryptamine, DMT, including ayahuasca), medicinal cannabis, d-cycloserine (DCS), stellate ganglion block (SGB), and transcranial magnetic stimulation (TMS, including theta burst stimulation, TBS). The initial REA was delivered in a tranche of seven individual reports in 2022. Four update reports were contracted at 6-monthly intervals to incorporate the most up-to-date information from newly published studies. The goal of the REA was to provide an evidence base to develop a flexible, yet robust, decision-making process that allows DVA to assess emerging treatments for veterans who have not responded to evidence-based treatments.

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.

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 aim of this Rapid Evidence Assessment (REA) was to investigate the efficacy of one-to-one online video counselling for the treatment of adults with mental health concerns and compare this treatment with traditional in-person counselling in terms of clinical outcomes, therapeutic alliance, client satisfaction and attrition.

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.

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.

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.