Abstract: Inequalities in the use of mental health services across Australia have been well established, specifically in relation to rural vs. urban communities. A range of factors have been identified as contributing to this inequity including physical access to appropriate mental health care services ; social stigma; agrarian values; and affordability. In an attempt to address some of these barriers, various telehealth and e-mental health services have been introduced, incorporating approaches such as telephone support/triage, internet based e-mental health resources, and service delivery. During the last 10 years these services have gained strategic momentum with the introduction of the Australian federal government’s Telephone Counselling, Self Help and Web based Support Program in 2006. This program funded the development and implementation of 10 major projects undertaken by Australian Universities, and the non-government and private sectors, aimed at trialling e-mental health services across Australia.