The Understanding Evidence: A Framework for Guiding the Use of Evidence in Decision Making for Mental Health Interventions including Adjunct Therapies (the Understanding Evidence Framework), is an easy to use guide to assess the supporting scientific evidence when making a decision about an intervention.

The key findings of the Middle East Area of Operations (MEAO) Census and Prospective Health Studies were launched by the Chief of the Defence Force on 8 August 2013.  These studies are part of the Military Health Outcomes Program (MilHOP), a significant body of research commissioned by the Department of Defence to determine the impact of operational deployment on the health and wellbeing of service men and women.

The results suggest that ADF members deployed to the MEAO are generally physically and mentally healthy.  However, members repeatedly exposed to traumatic experiences, either at home or on deployment, are more likely to develop mental health concerns.

DVA continues to seek opportunities to improve and evolve service models to meet the changing needs of clients and will use the studies’ findings to help inform future research priorities within DVA’s Strategic Research model.

Further information on the studies and access to the reports is available on the Department of Defence’s Military Health Outcomes Program webpage

This report overviews and contextualises the Mental Health and Wellbeing Transition Study methodology, describes the study populations and presents the key findings from the first two technical reports of the Study, Mental Health Prevalence and Pathways to Care. The Mental Health and Wellbeing Transition Study is one of three studies that comprise the Transition and Wellbeing Research Programme.

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.

DVA commissioned this study in 2011 to gain a better understanding of the experiences of reservists. The field-based component of the study consisted of face-to-face, semi-structured interviews with 39 ADF reservists, primarily from the Army with a smaller number from the Air Force. The text-based component centred on a review of the academic literature, as well as a review of historical documents and an inventory of support services available to reservists.

The study found that reservists vary in the way they understand their reservist identity. Some identify more with a ‘full-timer’ identity and feel a close connection with ADF membership and military skills, while some identify more as a ‘part-timer’ and place stronger emphasis on their civilian professional skills. The researcher found that the extent to which reservists identify with the ADF can affect outcomes including their health and wellbeing, cohesion with their unit and accessing of support services.

The reservists study has provided DVA with useful information about the experiences and needs of a sample of contemporary reservists. As a qualitative pilot study, the report is exploratory in nature. It does not quantify the extent to which the views expressed by the participants would be shared among reservists and reservist veterans more generally. Nevertheless, the report provides a useful understanding of issues experienced by the reservists interviewed and identified in the academic literature.

The report has informed DVA’s understanding of how reservists identify and the potential implications of this for DVA’s communication and engagement with reservists. It has also informed a focus on reservists in planning future DVA research. On 11 June 2014, the Government announced a joint DVA/Defence Transition and Wellbeing Research Programme which includes a nested study on reservists.

Reservists can access similar DVA support and services to those available to Permanent ADF members. For details on reservists’ entitlements, please see DVA website and/or the Claims for reservists. Reservists who are in doubt about what DVA services or support they could access are encouraged to contact DVA.

This aim of this review was to assess the current standing of public and self-anti-stigma interventions and investigate what has been shown to be an effective intervention to reduce stigma at the public and individual level.

The aim of this rapid evidence assessment (REA) was to assess the evidence related to meditation and mindfulness practices (meditation, transcendental meditation, mantra, yoga, and mindfulness) for Posttraumatic Stress Disorder (PTSD), depression, anxiety, and alcohol use disorder (AUD) in adults.

The aim of this Rapid Evidence Assessment (REA) was to assess the evidence related to outreach services for increasing quality of life, promoting access to services, and increasing functioning and mental health among adults with PTSD, depression, anxiety, adjustment disorder, alcohol-use disorder, or substance-use disorder.

The Transition and Wellbeing Research Programme Key Findings is the final of eight reports and two papers comprising the Transition and Wellbeing Research Programme. It summarises and consolidates the overall key findings from each of the three interrelated studies that make up the Programme: the Mental Health and Wellbeing Transition Study, the Impact of Combat Study and the Family Wellbeing Study.

This Programme constitutes a unique and valuable source of information about those who have recently transitioned from Regular ADF service (between 2010 and 2014), those who were still serving in the Regular (full-time) ADF in 2015, and those who have served on contemporary operations.

A further unique component of this Programme is its examination of the mental and physical health of ADF Reservists, in particular Abinitio Reservists who have never served in the Regular ADF.

It is also the first Australian study to specifically examine the impact of military service (not operation specific) and transition on ADF family members (partners, parents and children), whereby data were collected on both the serving member and their nominated family members contemporaneously.

The key findings presented in this report represent an overall summary of the Programme findings and should be considered in the context of prior Australian and international reports on mental health and wellbeing in both military and veteran populations.

The report fulfils a recommendation of the 2017 Senate inquiry into Suicide by Veterans and Ex-Service Personnel, for an independent study into the mental health impacts on veterans when they navigate the compensation claim assessment processes. It considers the evidence available and discusses leading practice in personal injury claims management.

Inquiries and reviews of the DVA support system have identified that the compensation claims assessment process may contribute to the psychological distress and mental health conditions experienced by some veterans, including self-harm and suicide.

In response to the Senate inquiry into suicide in veterans and ex-service personnel, the DVA commissioned Phoenix Australia to provide a desktop study and literature review examining the mental health impacts of compensation claims assessment processes on veterans and their families. The DVA subsequently commissioned Monash University to undertake this study to review the Phoenix report and to further explore potential for DVA actions that may mitigate potential mental health impacts of its compensation claims processes.

The study involved document review, site visits to DVA offices and a targeted literature search and is presented in three sections.