This case summary conducted by the Urban Institute and Sapna NYC, a community-based organization serving low-income Bangladeshi women through health and empowerment programs, explores the findings of a community needs assessment focused on the mental health challenges and needs of Bangladeshi immigrant women living in the Bronx, Queens, Manhattan, and Brooklyn and can help inform practice and policy in New York City. Data from our interviews indicated that the three major contributing factors to the mental health of women in our study were economic and financial insecurity, home life and social networks, and traumatic events. Based on these insights, we propose recommendations for policymakers and funders to better support the mental health of vulnerable and immigrant communities.