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Q&A

Cabán asks DOHMH about protective factors for TGNB youth mental health

New York City Council · Sep 23, 2026 · starts 0:42:00 · 2 min 5 sec

Cabán shares her own experience with a chronic condition and asks about protective factors beyond medical care. Davidoff names family support and affirmation, caring adults, peers, teachers, youth development, and community safety as protective against depression, suicidality, and substance use.

Tiffany L. Cabán

Thank you.

Tiffany L. Cabán

I really appreciate that.

Tiffany L. Cabán

And just to underscore that this is something that's not unique across the board in that sense.

Tiffany L. Cabán

There are tons of people who are being denied access to mental health care for a number of reasons, again, at the hands of the federal government and the distress that

Tiffany L. Cabán

that causes, I am somebody who lives with a chronic health condition and the period of time it took to get a diagnosis and the difficulty of being seen and heard and really taken seriously and treated was,

Tiffany L. Cabán

it was a really, really difficult time as

Tiffany L. Cabán

an adult with access to consistent mental health care.

Tiffany L. Cabán

And still, I struggled immensely.

Tiffany L. Cabán

And so I cannot imagine what young folks are struggling with when they're not sure where they can get their care.

Tiffany L. Cabán

I have a couple more questions and I'm going to hand it over to my co-chair.

Tiffany L. Cabán

But beyond medical care, what does DOHMH understand to be the most important protective factors for TGNB youth mental health?

Tiffany L. Cabán

Just as examples, such as family acceptance, affirming schools, community connection, things like that.

Marnie Davidoff

Yep.

Marnie Davidoff

There are many protective factors, and I'd say the most widely protective factor is connectedness to parents.

Marnie Davidoff

So family support and affirmation is absolutely critical as a protective factor.

Marnie Davidoff

Others include connectedness to other, you know, adults, caring adults, adult relatives, adults in the community,

Marnie Davidoff

peers and friends, teachers, youth development opportunities, and feeling safe in the community.

Marnie Davidoff

Those were all protective factors.

Marnie Davidoff

And I'm looking at, and that goes for, you know, transgender, genderqueer, genderfluid, questioning youth.

Marnie Davidoff

And these were protective factors against depression, suicidality, and substance use.