• You’ll grow and strengthen as a professional in the rapidly expanding infant, early childhood, and family services field
• You’ll be recognized by employers and peers as a competent and skilled professional in a system dedicated to culturally-sensitive, relationship-focused practice, and quality care for all infants, toddlers, and families
• You’ll better support the infants, toddlers, families, students, agencies, and institutions in the promotion of infant and early childhood mental health
• As of December 2018, there are 2,623 professionals who have earned IMH-E® across the world and you will be a part of this cross disciplinary group of professionals!

• Endorsement® is meant to honor professionals who apply infant and early childhood mental health principles to their practice. It is not a license but an endorsement of a specific skill set that complements a license or credential.
• Endorsement® recognizes professionals across disciplines, building a common language around the important factors in serving infants, toddlers, and families: healthy relationships to aid children in processing emotions, social emotional foundations in learning, and providers who recognize the value of caregivers in serving infants and toddlers.

• All disciplines who engage with infants/toddlers and their families are eligible for Endorsement® within different categories. Some examples include: Head Start and Early Intervention staff, home visitors, child care workers, pediatricians, social workers, clinical therapists, NICU nurses, etc.

• Endorsement® communicates to families, professionals, and employers that an individual has exceptional experience and training in working with infants, toddlers and families
• There are some employers and positions that strongly encourage employees to hold Endorsement®
• An endorsed workforce ultimately means better services and thus better outcomes for babies!

The costs for IMH Specialist and IMH Mentor are in line with credentialing fees that have been established by other professional organizations. The credentialing fees support the overhead costs of the MassAIMH Endorsement® and allow us to have applications and tests carefully reviewed.

• Infant Mental Health (IMH) and Early Childhood Mental Health (ECMH) Endorsement® for Culturally Sensitive, Relationship-Focused Practice are internationally recognized credentials.
• Endorsement® is recognized in 30 states and 2 countries.  This body of states and countries is known as the Alliance for the Advancement of Infant Mental Health and it is growing as additional states adopt the credential.
• State associations with an Endorsement® license honor reciprocity between other states that have adopted this system.

• Endorsement® recognizes professionals and the organizations they work for as having deepened their understanding of infant and toddler development, healthy social-emotional development, and the importance of relationships in the long-term outcomes of infants and toddlers.
• Parents should look for providers who hold Endorsement® as a way of verifying that a provider has specialized training in working with infants/toddlers and their families.

• Just ask! Achieving Endorsement® is a great source of pride and recognition for those that work to receive it. Everyone who receives the Endorsement® receives a certificate and their name is maintained in a registry by MassAIMH at MassAIMH.org/endorsementregistry

1. Requirements depend on the endorsement category for which you are applying. The following documents are required for all categories:

• Official transcripts from educational institutions in a sealed envelope,
• Lists of specialized in-service trainings related to culturally sensitive, relationship-based practice promoting infant mental health that reflect competencies, paid work experiences with or related to infants, toddlers, and their families, and (for Levels II, III & IV) reflective supervision/consultation experiences while working with infants, toddlers and their families
• Three reference ratings
• Signed Code of Ethics
• Signed Endorsement Agreement
• Proof of membership in MassAIMH
• Endorsement Fee
• Graduates from a college or university program must submit documentation of completion of the program, such as a copy of diploma or certificate.

• Please see the Events calendar for Endorsement® Application timelines

If you have a question that is not addressed on this list, email massaimh.endorsement@gmail.com

Some applicants find it useful to use the Getting Started Form to compile all of their relevant Infant and Early Childhood Mental Health trainings, work experience, and education so they can more easily cross reference them to a particular competency. It can make inputting the information easier.

Applicants can also refer to the webinars or contact the Endorsement® Coordinator, Aditi Subramaniam, for more information.

All applications are carefully reviewed by two volunteer members who have earned endorsement and/or are members of the Endorsement Team.   After examining your official transcripts, the reference rating forms, and your lists of specialized work, in-service training, and reflective supervision/consultation experiences, each reviewer will make recommendations about whether to endorse (Categories I and II) or to approve you to sit for the exam (Categories III and IV) or may suggest that you pursue further training and/or reflective supervision and then be re-reviewed after a period of time.

Endorsement Requirements for Reflective Supervision/ Consultation (RSC)*

Reflective supervision/consultation that meets criteria for MassAIMH endorsement should come from an individual who has earned endorsement based on the above requirements in the table or is vetted as a Reflective Supervisor.  So, as you said, lots of clinical supervision is reflective, but perhaps not all is from a specialist in infant mental health. For your application, please only include those hours that were provided by an individual who specializes in infant mental health and that was focused on the practice or the promotion of infant mental health.

Yes, if you meet and participate in the case consultations once a month for two hours, you will have 24 hours of reflective consultation that meets criteria for endorsement.

If all of those sources meet criteria for endorsement (see previous question), you may include them all as long as the majority of the required clock hours were provided by just one or two supervisors/consultants.

All in-service training hours that meet criteria toward endorsement must be related to the MASSAIMH Competency Guidelines. Be sure to list which specific knowledge or skill area is covered at each training, e.g., attachment, separation and loss; cultural competence; etc. For a training to count toward endorsement at least one competency must have been covered.  It is important to remember that endorsement reflects training specialization in the promotion of culturally sensitive, relationship-based practice promoting social and emotional well-being in the first years of life or infant mental health.

Although the minimum requirement is 30 hours, we expect endorsement candidates to document that they have achieved competency in all (or almost all) of the categories (as identified at your desired category) via college course work, on-the-job training, in-service opportunities and reflective supervision/consultation.  So, if there are still gaps in your competencies with only 30 hours, include as many others as you can to fill those gaps.

There is no limit on how long ago the training was attended to be counted toward requirements.  Some candidates may have been in the field for many years and are encouraged to include all the trainings that have shaped their practice in infant-family work. However, it is not necessary to submit a comprehensive list of every training ever attended. The list should reflect a balance of breadth and depth across the competencies and the promotion of infant mental health.

The training does not need to be sponsored by MASSAIMH to be eligible to count toward your minimum for endorsement.  In fact, many trainings that you attend for professional licensing or agency requirements may also qualify for endorsement (for example an ethics training for social workers, Birth to Three training about family-centered planning, or doula training, to name only a few).

A specialized training that is eligible for endorsement should meet the following criteria:

1. Is culturally sensitive, relationship-focused and promotes infant mental health
2. Relates to one or more of the competencies in the MASSAIMH Competency Guidelines
3. Is specific to the category of endorsement at which you are applying

The minimum of 30 clock hours that is required with your application can have been earned over the course of your career, even if they were attended many years ago.

In order to renew endorsement, a minimum of 15 additional hours of specialized in-service training is required annually.  Endorsement and MASSAIMH membership renewal will due by January 31 of each year in order to remain active on the MASSAIMH Endorsement Registry.

No. But we do strongly recommend that you carefully review the MassAIMH Competency Guidelines to identify the skill and knowledge areas for the category at which you are applying. We expect candidates to document competency in these areas either through course work, work experience, reflective supervision/consultation, and/or in-service training. It is important to seek out in-service training/conference offerings that will fill in any competency gaps you might have.  Some skill areas (such as empathy and compassion, self-awareness) will be documented in the three reference ratings that you will include with your application.

Trainings that might not meet criteria would be focused primarily on school-aged children or adolescents or the elderly.

On the application, candidates must list a minimum of 30 hours of relevant in-service training.  Candidates are encouraged to include all relevant conferences that they have attended, but only one conference (with many workshops) may be counted toward the 30-hour minimum.  MASSAIMH recognizes that conferences are an important way to be exposed to new material, but believes a balance with lengthier, more intense in-services of six hours or more helps to build skills.

Yes, in general Category II work experience is more broad and encompasses many of the ways that candidates might work with the families of infants and toddlers including case management, Part C service coordination, parent-child play groups, parent education, and family support.  Category III work experiences are often (but not always) home-based and include the following interventions:  advocacy, developmental guidance, emotional support, concrete assistance, and parent-infant psychotherapy.

Competence as an Infant Mental Health Specialist builds with supervised work experience over time with services delivered to the families of infants and toddlers that are relationship-focused and culturally sensitive with an emphasis on examining the role of relationships in reflective supervision.  If you have worked with fewer than 10 families of infants/toddlers for less than six months, you may be advised to begin at Category II.

Overall, Endorsement is seen as a professional development lattice.  It is most common for people to start at Category I or II.  Over time, once practitioners have had an opportunity to serve many infant mental health cases while receiving reflective supervision/consultation from someone who is endorsed and after participating in many specialized in-service training opportunities, they may have developed a degree of expertise that qualifies them for Category III.  It is important to be sure that a candidate has achieved that expertise so that there is greater assurance of successfully completing the written exam.  Also, once a practitioner has earned Category III, they are qualified to provide reflective supervision to other candidates who are seeking endorsement.

There are two parts to the test: Part I consists of multiple choice questions.  Part II consists of three vignettes or scenarios; you are asked to answer two of the three.  You will have three hours to complete the examination (i.e., 1 ½ hours to complete Part I and 1 ½ hours to complete Part II).  The material covered requires knowledge about pregnancy, early development and clinical practice experiences. Both parts draw on cumulative learning experiences in college or university settings and specialized in-service trainings, as well as self-study (e.g. books and journal articles about infancy, early parenthood and infant mental health). Your supervised work experiences with infants, toddlers and families, and experiences within reflective supervision or consultation groups related to your work with infants and families will also contribute to learning that is reflected in the examination questions.

1. The multiple choice questions are related to the competencies as indicated in the MASSAIMH Competency Guidelines booklet such as:

• Attachment separation, and loss
• Pregnancy, infant and young child development and behavior
• Relationship-based therapeutic practice
• Infant mental health screening and assessment
• Disorders of infancy/early childhood
• Cultural competence
• Reflective practice

Studying for the test will vary from person to person. If you are currently engaged in relationship-based practice with infants and their families, receive reflective supervision and have consistently updated your knowledge and skills through specialized in-service training or enrollment in university or college course work specific to infancy, early parenthood and infant mental health, you will most likely be very well prepared. If you have not engaged in clinical practice or attended in-service trainings or university-based coursework specific to the promotion of infant mental health, you will find the test challenging.  There is a suggested resource: MassAIMH Exam Prep Resource List