This research indicates that all professionals involved in the planning, delivery and funding of services need to acknowledge the range of problems and issues experienced by those living in exile. By taking a wide perspective of mental health needs, providers can plan intervention, which takes account of the multitude of practical, social, cultural, economic and legal difficulties, which can act as contributing factors to the long-term mental health of refugees and asylum seekers. The fundamental challenges faced by service providers in the mental health and social care sector is to incorporate the views, and whenever possible the users themselves.