This thesis focuses on the circumstances of asylum seekers, within the state financed basic care program in Vienna. Looking closely on how the basic care program works and how it deals with specific health issues, during the asylum seekers stay in Vienna, builds the core of this thesis. Taking the difficult strains of the asylum process into account, this thesis will work on how these strains affect the health of those under the pressure of this system. Also various coping strategies as well as all resources that are provided to deal with this will be analyzed. Difficulties and boundaries of social work in this field will be presented. According to many variables such as the traumatized past and the limited financial resources, the health risk of asylum seekers is high. Especially chronic diseases as well as psychological difficulties arise. The specific aspects of health issues in the counseling of families are often not met. The existing system does not give the counselors and refugees the necessary leeway to handle these problems. To improve this situation there is an urgent need for increased funding for intercultural concepts as well as basic approaches in ethno psychological projects and a stronger focus on psychosocial-counseling.