Skip to content
Council Discourse

NYC Council meetings, chaptered and linked by time.

Independent project. Not affiliated with the New York City Council.

Created by Uzair Qadir

Inspired by Vikram Oberoi's City Meetings

Q&A

Narcisse asks H&H about coordinating mental health with gender-affirming care

New York City Council · Sep 23, 2026 · starts 0:49:33 · 1 min 18 sec

Narcisse asks about the value of coordinating mental health support with affirming care. Wallach cites his 29 years at H&H and integrated physical and behavioral health programs; Fattal says H&H connects patients internally between primary care and behavioral health.

Mercedes Narcisse

What does HNH see as the value of coordinating mental health support with gender-affirming care?

Andrew Wallach

Yeah, great.

Andrew Wallach

Thank you for those comments and for the particular question.

Andrew Wallach

I have to say I'm entering my 29th year working at New York City Health and Hospitals as an internist.

Andrew Wallach

And one of the things I most...

Andrew Wallach

proud about our healthcare system is its longstanding history of integration of both physical and behavioral health services through programs like collaborative care and primary care, which focuses on depression and anxiety.

Andrew Wallach

And I would say that coordinating gender-affirming care with mental health support as clinically necessary and, of course, with informed consent, we know and we've heard leads to better mental health outcomes.

Andrew Wallach

So here at New York City Health and Hospitals, this is absolutely a process that we use to provide full care to the patient.

Andrew Wallach

But I'm going to turn it over back to Dr.

Andrew Wallach

Fattal for additional comment.

Omar Fattal

Yeah, I agree 100%.

Omar Fattal

And we do it on behalf of the patient, so we don't rely on the patient to have to connect the dots.

Omar Fattal

So if the patient is already engaged in treatment in primary care, primary care team would make the referral to behavioral health, and the reverse is true.

Omar Fattal

If someone starts their care in behavioral health and we realize that they need medical services, then we connect them with medical services internally.