The Washington Association for Infant Mental Health

Endorsement (IMH-E®)

If you are interested in obtaining Infant Mental Health Endorsement (IMH-E®) in WA State, please review our Registration page.

Organizational members who wish to sponsor a cohort of their employees for Endorsement will receive a 20% discount on Endorsement Processing Fees. For more information, email


What Is Endorsement?

Endorsement for Culturally Sensitive, Relationship-focused Practice Promoting Infant Mental Health® (IMH-E®) was developed by the Michigan Association for Infant Mental Health, and is intended to recognize experiences that lead to competency in the infant-family field. It does not replace licensure, certification, or credentialing, but instead is meant as an “overlay” to these. Endorsement® is multidisciplinary including professionals from psychology, education, social work, psychiatry, child and/or human development, nursing, and others. Endorsement® indicates an individual’s efforts to specialize in the promotion/practice of infant mental health within his/her own chosen discipline.

Those who have earned Endorsement® have demonstrated that the individual has received a minimum of specialized education, work, in-service training, and reflective supervision/consultation experiences that have led to competency in the promotion and/or practice of infant mental health. Endorsement® does not guarantee the ability to practice as a mental health professional, although many have earned Endorsement® as licensed mental health professionals.

There are multiple paths to Endorsement®. Individuals demonstrate competency by completing a wide range of coursework and specialized in-service training while performing a wide range of paid roles with or on behalf of infants, very young children, and families. There is no one defined way, course, or set of training sessions that exclusively lead to Endorsement®.


When did Endorsement® begin in Washington?

On February 6, 2015, two leaders from the Michigan Association for Infant Mental Health came to Washington for the WA-AIMH Endorsement® kick-off in Tukwila. This event was attended by over 140 people from across the state. The presentation provided an explanation of infant and early childhood mental health and its importance; a detailed summary of the competencies that are the foundation for the Endorsement® process; a description of reflective supervision; and examples of how other states have utilized the competencies. To view the presentation by the Michigan leaders, Nichole Paradis and Sheryl Goldberg, click here. You can read the presentation slides by clicking Endorsement Presentation.

On May 3, 2015, WA-AIMH began accepting registrations and within a year have had over 100 people register for Endorsement®. If you have additional questions about endorsement, please contact us at

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