DVA commissioned La Trobe University to investigate literature on best practice in in-home domestic assistance programs in order to provide a contemporary evidence base to inform any future policy and program development aimed at improving DVA domestic assistance service offerings to veterans and families.

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.

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 focus of this review is the comparison of veteran rehabilitation offerings of the Five Eyes countries to understand where Australia's offerings sit in terms of focus, scope of services and eligibility in relation to comparable schemes.

Self-managing physical activity can be challenging and programs that help DVA clients to manage their own physical activity regimes are needed. This project developed and trialled a new physical activity support program for DVA clients called Active Choices

DVA funded a four-year research trial through La Trobe University, in partnership with the Centre for Service and Therapy Dogs Australia (CSTDA), to provide detailed guidance and evidence to support best practice in the use of psychiatric assistance dogs for veterans with PTSD. Evolution Research were engaged to conduct the independent evaluation of the Trial.

The Trial’s objective was to train, allocate and monitor assistance dogs as an adjunct to evidence-based treatment for veterans with PTSD, to determine the following outcomes: 

• the clinical utility of using specifically-trained assistance dogs as an adjunct to evidence-based treatment for PTSD in a veteran population; 
• the benefits of specifically-trained assistance dogs used by veterans with PTSD in decreasing related caregiver burden; and 
• the key barriers and enablers for a possible future broader implementation of an assistance dog program of the type conducted under the Trial. 

The Trial evaluated the life experiences of 20 veterans with a diagnosis of PTSD through their journey of being paired with a specifically trained assistance dog. The veteran’s journey commenced at the time of recruitment and initial assessment, involvement in a comprehensive training program and matching of a dog to meet their unique needs. Following completion of the training program and preparedness the veteran received handover of their dog to live with them full time. 

Of the 20 veterans recruited, a total of 17 completed the Trial on 30 June 2022 and continue to live with their dog. The three veterans that did not complete the Trial voluntarily withdrew due to personal circumstances. Exit interviews to capture their experiences were conducted and noted in the evaluation report.

The Trial was successful in meeting its objectives and the evaluation findings and recommendations are being considered by DVA’s Psychiatric Assistance Dog Program for opportunities to enhance delivery of the Program.

The following comments were captured from trial participants and support persons during the evaluation and are included in the report

“I can’t express enough how much this program has been of benefit. I have little doubt that my service dog has saved my life” – Veteran John

“My wife says she “has the old me back”, my parents have commented on the change the dog has had on me, with comments such as…”we haven’t seen this bloke in 20yrs” – Veteran Brian

“I have more freedoms to do things that I like without feeling guilty or worrying about my husband. I cannot thank them enough for their dedication, patience and care shown to not only my husband but our entire family” - Support Person Jenny

“Conversations about difficult subjects have become approachable and easier. Our communication has improved in all aspects of our life” – Support Person Susan

Findings from the REA identify strategies to support and sustain healthy behaviours as part of active ageing in Australian veterans. The research suggests that interventions that promote an active physical and cognitive lifestyle not only help prevent and combat mental and physical health decline, they also increase quality of life and well-being in later life for all veterans.

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 aim of this Rapid Evidence Assessment (REA) was to examine the evidence to investigate the physical and mental wellbeing benefits veterans achieve through participating in sporting activities and whether these benefits are linked to the type of sporting activity being undertaken.

The aim of this Rapid Evidence Assessment (REA) was to examine the evidence to investigate the physical and mental wellbeing benefits veterans achieve through participating in sporting activities and whether these benefits are linked to the type of sporting activity being undertaken.

The aim of this Rapid Evidence Assessment (REA) was to examine the evidence to establish whether ageing veterans experience challenges and issues that differ from those of the general population. Also, the factors and interventions that positively affect health and wellbeing outcomes for older people (particularly those from military backgrounds).