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Telehealth and Collaboratively Delivered Dialectical Behaviour Therapy: An Opportunity for Increasing Access to

Carla J Walton^1,2,3, Sharleen Gonzalez¹, Anna Dunbar⁴

¹Hunter New England Mental Health Service, Newcastle, New South Wales, Australia.

The Australian Journal of Rural Health

|April 3, 2025

Abstract

Aims:

The aim of this commentary is to consider how telehealth and a collaborative model of service delivery may offer a way of making Dialectical Behaviour Therapy available in rural areas.

Context:

Dialectical Behaviour Therapy (DBT) is an effective treatment for Borderline Personality Disorder (BPD). However, there are many barriers to making this sort of therapy available within routine care, particularly in rural areas.

Approach:

This commentary provides a summary of the literature relevant to the role that telehealth could play in increasing access to DBT. A new model of care could utilise telehealth services to deliver comprehensive DBT treatment to people with BPD living in rural areas in partnership with community mental health services.

Conclusion:

Telehealth and collaborative models of Dialectical Behaviour Therapy delivery should be further investigated, especially to meet the needs of rural mental health care.

Keywords:

borderline personality disorder dialectical behaviour therapy rural telehealth

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