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 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 study aimed to examine the health and compensation outcomes of Rwanda veterans and investigate whether there were differences in outcomes between the different groups deployed.

The study undertook a data match and analysis process using personnel, compensation, health and mortality data.

Among other things, the study found that the health of the Rwanda cohort is characterised by a high rate of post-traumatic stress disorder (PTSD) that is expressed in two compensation peaks five and 11 years after the deployment.

There was no evidence of difference in discharge rates between the contingents, between personnel groups or between personnel from formed units and those who joined deployments individually.

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 Review of PTSD Group Treatment Programs was undertaken by the Centre for Military and Veterans’ Health (CMVH) to ensure that services offered to clients of the Department of Veterans’ Affairs (DVA) were evidence-based and met the needs of both older and contemporary veteran cohorts.

This review came about following a recommendation out of the Independent Study into Suicide in the Ex-Service Community, undertaken by Professor David Dunt in 2009 comprised two phases. The first was a literature review of evidence-based best practice treatment for PTSD.

The second phase critically reviewed PTSD programs offered by providers contracted to DVA. This included the process of referral, the programs themselves, discharge planning and follow-up.

The report offers guidance on the next phase of group treatment programs and DVA will work closely with providers and the Australian Centre for Posttraumatic Mental Health to ensure treatment programs better met the needs of contemporary veterans. Changes to programs will only be implemented where more effective treatment and improved treatment outcomes for participants will be achieved.

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.

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.