The research explores the movement of Tibetan immigrants since the 1970s, and the lives of those obtaining citizenship in Taiwan. Tibetans in Taiwan are excluded from the communities in both Taiwan and Tibet, with most experiencing the loss of two cultures, the problem of isolation, and lack of both social recognition and belongingness. Social work practices involve case work to resolve the difficulties in life experienced by these Tibetans. Unfortunately, social workers who have participated in such supporting projects have been unable to understand the immigrants’ trauma and their mood of resentment towards the public sector. Therefore, social work intervention and evaluation have been unable to fully deliver their professional value and skill for these immigrants. Solutions needed include enhancing the process of the Refugee Act, as well as working with immigrants on the trauma issue to create dialogue between Tibetans and Taiwan’s society.