Recently arrived older refugees in resettlement countries are a particularly vulnerable population who face many risks to their health and wellbeing, and many challenges in accessing services. This paper reports on a project undertaken in Victoria, Australia to explore the needs of older people from 14 recently arrived refugee communities, and the barriers to their receiving health and aged care. Findings from consultations with community workers and service providers highlight the key issues of isolation, family conflict and mental illness affecting older refugees, and point to ways in which policymakers and service providers can better respond to these small but deserving communities. © 2007, Emerald Group Publishing Limited