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This paper reports findings from a qualitative study of the mental health needs of refugees, asylum seekers and migrant workers living in an East Anglian seaside town with high rates of socio‐economic deprivation. Nine key informants were recruited from people working with refugees, asylum seekers and migrant workers, and from people who were either members of, or had extensive knowledge of the issues affecting the relevant communities. Barriers were reported both at the stage of seeking services and in accessing services once sought. Barriers to seeking services included different understandings of mental health problems, lack of acknowledgement, discussion and prioritisation of mental health problems, stigma, lack of knowledge of services, fear of authority and lack of trust. Barriers to access included previous negative experiences of accessing NHS services, resource limitations, lack of interpreting and translation services, and practical barriers such as transport and hours of appointments. The findings are discussed in relation to mental health service delivery and mental health promotion.

A postal survey and semi‐structured interviews were under taken with mental health day centre staff in two regions of England, investigating whether criticisms levelled at buildings‐based day services are justifiable. The majority of respondents agreed with recommendations outlined in From Segregation to Inclusion (National Institute for Mental Health in England/Care Services Improvement Par tnership, 2006), believing that mental health services should ideally be based in community locations. Respondents believed that this would help to challenge stigma, facilitate community integration, and provide service users with more oppor tunities. However, concerns were expressed as to the availability of mainstream facilities and whether this approach would be suitable for all service users. Suggestions on how day services could be improved included having access to reliable sources of funding, relaxing access criteria, and having greater service user involvement.