Abstract
This paper describes research relevant to spiritual care for LGBTQI refugees and migrants. The literature indicates some distinct challenges faced by religiously involved LGBTQI migrants and refugees. LGBTQI migrants and refugees may not be able to experience family and religion as supportive compared to migrants and refugees who do not identify as LGBTQI. Such migrants and refugees thus face elevated levels of mental health challenges compared to non-LGBTQI refugees and they also face additional mental health risks compared to non-refugee LGBTQI adults and youth. Such risks include suicidality, depression, substance abuse, social isolation, internalised religious homonegativity, shame and risks to sexual health and a breakdown in the ability to trust others and caregivers. The paper identifies five seminal areas for extending care in the light of the research. These include building trust and properly assessing risk, working towards relational health, helping clients move to new ways of constructing and conceiving of family, easing the influence of internalised homonegativity and shame, and finding written and human resources that will be helpful to clients. These areas of care only present a tentative map as this issue requires more research and reflection.