This research provided important findings for practitioners and mental health commissioners. Other research has also highlighted that access to appropriate treatments may be less frequent for refugees. 9 The issues are manifold and most seem to be fundamentally related to a lack of mutual understanding of mental health care needs and how the services designed to meet those specific needs are organised and accessed. Discrimination on the basis of cultural differences, as a factor that contributes to exclusion from and non-use of mental health care services for refugees, is a wider current area of interest for those working with or.