 Before this, only youth on private insurance could consent to outpatient mental health services independently of their parents and only in cases where abuse is suspected or the child is in danger of self-harm. Joy Alafia with the California Association of Marriage and Family Therapists says there are close to 6 million youths on Medi-Cal. For communities of color, you're looking at 61% of African-American children, 59% of Latin-A children, and 38% of Native.