People experiencing domestic and sexual violence are being offered on-demand video calls with qualified counsellors.
The face-to-face service provided through 1800RESPECT complements existing phone, text and online chat options.
Social Services Minister Amanda Rishworth said the video calls could help people with communication difficulties.
"Talking about domestic, family and sexual violence can be hard," she said.
"Our hope is that the video call service channel will allow people who would feel more comfortable having that conversation face-to-face to have that option on demand."
Telstra Health managing director Elizabeth Koff said the expansion of 1800RESPECT service channels would allow people to make contact through whatever means best suited them.
"1800RESPECT remains committed to ensuring that the service is as accessible as possible, meeting the diverse needs of individuals seeking support through the delivery of its four service channels, phone, text, online chat and video call," Ms Koff said.
People can access the service by clicking a video call button on the organisation's website, using compatible mobile phones or a computer.
Interpreters can also join the call with a user's consent.
The video call service will initially be available between 9am and 5pm on weekdays and the hotline intends to make it 24/7 in the future.
The launch follows the rollout of text message supports in 2023.
1800 RESPECT (1800 737 732)
Lifeline 13 11 14
National Sexual Abuse and Redress Support Service 1800 211 028
beyondblue 1300 22 4636
