The growing body of research on the challenges presented to mental health services by refugee and asylum seeking populations is increasingly necessary, however, such research focuses mainly on organisational or institutional processes rather than user perceptions and beliefs concerning health care. Very little is known about refugee and asylum seekers user involvement in mental health services and the impact on the accessibility to care among this user population. The experience of the refugee service user in mental health is conspicuous by its virtual total absence from research and the few studies dealing with black and minority ethnic.