The aim of this literature review, conducted by Australian Centre for Posttraumatic Mental Health (ACPMH), was to provide information on gender differences across key mental health topics relevant to military personnel and veterans. These topics included the type and prevalence of mental health and related problems; treatment‑seeking attitudes and behaviours; treatment preferences; and access to, and barriers to, treatment.

The Australian Government Department of Veterans' Affairs commissioned the University of New South Wales to design and conduct an exploratory qualitative research study to better understand culturally and linguistically diverse (CALD) veterans' service access needs and experiences, and the enablers and barriers to engaging with the veteran support system. The research offers preliminary insights into how the veteran support system may better meet the needs of CALD veterans and families of veterans.

Produced by the Australian Institute of Health and Wellbeing (AIHW), this report quantifies the level of suicide among serving and ex-serving Australian Defence Force (ADF) personnel and identifies factors that may be associated with suicide risk. Analysis in the summary report examined each service-related characteristic associated with risk of suicide individually.

This literature  review looked at how military service can shape the risk of social isolation among younger veterans, the factors that increase or reduce that risk, and the impacts on those who care for them. 

The Australian Gulf War Veterans’ Follow Up Health Study 2015 (Follow Up Study) is a follow up to the original Australian Gulf War Veterans’ Health Study 2003 (the 2003 study), also commissioned by DVA, to assess Gulf War veterans’ health and wellbeing 20 years after deployment.

The Follow Up Study is a longitudinal cohort study conducted from 2010 to 2015.  It compares the physical, psychological and social health and military related exposures of Australian Defence Force veterans of the First Gulf War against a military comparison group and the 2003 study.  A mortality and cancer study component of the Follow Up Study involved the entire Gulf War and military comparison groups, comprising a total of 4,793 people.

At follow up Gulf War veterans were found to be resilient. They were likely to have accessed disability and health services, which may suggest that the Gulf War cohort is seeking help when they need it.  At follow up there was a reduction in smoking, with one half of those who reported being a smoker in the 2003 study no longer smoking.

The Follow Up Study found Gulf War veteran participants were more likely than the military comparison group to suffer from a number of conditions, including posttraumatic stress disorder, alcohol disorder, chronic fatigue, irritable bowel syndrome and chronic multisymptom illness.

There were no statistically significant differences in cancer and mortality rates between Gulf War veterans and the military comparison group.

As part of the Australian Gulf War Veterans' Health Study (published in 2003), serum samples were collected from consenting participants, for long-term storage and future potential research. In 2005, a Serum Management Committee (the Committee) was established to provide oversight of the stored samples.

The Vietnam Veterans Family Study (VVFS) is the most significant research program ever undertaken by the Australian Government into the health of the families of Australia’s Vietnam veterans. The four volumes, released in 2014, examine the effect of Vietnam War service on the physical, mental and social health of the sons and daughters of Vietnam veterans. 

Over 27,000 people participated in the studies, including Vietnam veterans, partners and their children. Defence Force personnel of the same era who did not deploy to Vietnam, and their families, participated in the study as a control group.

A further report, titled Spouses and Partners of Vietnam Veterans – Findings from the Vietnam Veterans Family Study, was commissioned following consultation with the veteran community through the Ex-Service Organisation Round Table (ESORT). Feedback from stakeholders highlighted the importance of including spouses and partners in the VVFS analysis. 

Information about the consultation process, ESORT’s recommendations, and the Government Response can be found below.

• ESORT Feedback Paper (PDF 784 KB)
  ESORT Feedback Paper (DOCX 604 KB)
• Government Response to the Vietnam Veterans Family Study

Findings

The VVFS found that the majority of sons and daughters born to Vietnam veterans are leading healthy and productive lives. However, analysis found that the families of Australia’s Vietnam veterans are more likely to have considerable emotional, physical, and social issues when compared to families of those who served in that era but did not deploy to Vietnam.

When examining mortality amongst the children of Vietnam veterans, the research found that the children of Vietnam veterans and Vietnam-era personnel had lower mortality rates when compared to the general Australian population and that there were no significant differences in deaths from cancer. Sons of Vietnam veterans deployed had a higher mortality rate compared with Vietnam-era personnel from late teenage years to adulthood, largely due to external causes which include car accidents, misadventure and suicide.

To see the full reports released in 2014 please follow these links:

• Volume 1: Introduction and Summary of the Studies of Vietnam Veteran Families (PDF 614 KB)
  Volume 1: Introduction and Summary of the Studies of Vietnam Veteran Families (DOCX 2.92 MB)
• Volume 2: A Study of Health and Social Issues in Vietnam Veteran Sons and Daughters (PDF 748 KB)
  Volume 2: A Study of Health and Social Issues in Vietnam Veteran Sons and Daughters (DOCX 2.30 MB)
• Volume 3: A Study of Mortality Patterns of Vietnam Veteran Families (PDF 901 KB)
  Volume 3: A Study of Mortality Patterns of Vietnam Veteran Families (DOCX 2.84 MB)
• Volume 4: Supplementary Studies of Vietnam Veteran Families' Experiences (PDF 2.09 MB)
  Volume 4: Supplementary Studies of Vietnam Veteran Families' Experiences (DOCX 7.41 MB)

The report Spouses and Partners of Vietnam Veterans – Findings from the Vietnam Veterans Family Study confirms the long-term impact of Vietnam War service on family members. The two main areas that partners were faring less well in were mental health and couple relationships, though significant results were also found for perceptions of general physical health, perceptions of family relationships and socio-economic disadvantage.

The study confirms that veteran partners should continue to be considered in the design of early intervention supports to help reduce the long term impact of military service on families.

• Spouses and Partners of Vietnam Veterans – Findings from the Vietnam Veterans Family Study
• Spouses and Partners of Vietnam Veterans – Summary of findings from the Vietnam Veterans Family Study

Support services

The research shows that operational service affects more than just the person who serves. It can also impact on family members which is why DVA has services to help families adjust and cope. Studies such as these help inform support programs and services.

For veterans and their families, support is available through Open Arms — Veterans & Families Counselling. Open Arms provides 24 hour, free and confidential counselling and support to veterans and their families. For more information, call 1800 011 046 or visit the Open Arms website.

Families can find out about support available from DVA on the website.

More information about mental health support is also available here.

Further information

For further information, see also:

• Media backgrounder (PDF 167 KB)
  Media backgrounder (DOCX 79 KB)
• Ministerial media release — Important research studies released
• Government response to the Vietnam Veterans Family Study 2014 (PDF 113 KB)

The Department of Veterans’ Affairs (DVA) commissioned Bond University, Tactical Research Unit to quantify exposures that occur during the initial training of full-time Australian Defence Force (ADF) personnel and compare those findings with the exposure threshold levels set out in the Statements of Principles for osteoarthritis in the lower limb established by the Repatriation Medical Authority.

The study’s findings have supported the work undertaken by DVA to improve access to services, streamline the compensation claims process, and fast track access to treatment by lessening the need for some veterans to explain how their service has caused OLL when submitting claims to DVA.

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

The series of studies, commissioned by the Repatriation Commission, was undertaken in response to a recommendation of the 1997 Mortality of Vietnam Veterans: The Veteran Cohort Study, which was to monitor the mortality of Vietnam veterans and repeat the study after 2000.

The first three reports in a series of studies of mortality and cancer incidence in Australian Vietnam veterans were released on September 5th 2006. 

The reports were produced by the Department of Veterans’ Affairs with the assistance of the Australian Institute of Health and Welfare.

A fourth report in the series was released on 26 September 2007.

Each of the four completed reports can stand alone as a complete study. However, the first three volumes should be taken together for a more thorough understanding of the mortality and cancer incidence of this cohort of Australian Vietnam veterans and an Overarching Executive Summary has been produced to assist in understanding . The fourth volume investigates a specific aspect of Vietnam service, that is the exposure to an anti-malarial drug, Dapsone.

The reports and their overarching summary are available at Overarching Executive Summary.

The Health Study 2005: Australian Veterans of the Korean War is the third and final study in a series of studies of the health of Australian Korean War veterans. The reports for first two studies, the Cancer Incidence Study and the Mortality Study, were released in 2003. The three studies constitute a major study program of health in this Australian veteran population and represent one of the most comprehensive investigations of health ever conducted in an entire veteran group.

Health Study 2005: Australian Veterans of the Korean War was prompted by recommendations from the first two studies concerning the need for a general health survey of Australian Korean War veterans. The study compared surviving male Korean War veterans with a group of men of similar age who were resident in Australia at the time of the Korean War but who did not serve in Korea.

The study was commissioned by the Repatriation Commission, managed by the Department of Veterans' Affairs and conducted by Monash University.