At a City Council hearing Tuesday, advocates said they have not only noticed that shift, but also the mental toll it’s having on immigrant communities across the city, highlighting the vast need for access to culturally competent mental health services. “Almost every single one of those 83 people needed mental health services. Access to mental health services is a problem for New Yorkers generally, and for immigrants, it’s even harder. The demand for mental health services is immense, advocates said—and city officials acknowledged. Officials testified that MOIA’s general hotline has received thousands of calls this year, many of them with questions about health, including dozens on mental health specifically.