Child walking across log in river bed.

What is Endorsement?

Since 2015, Washington State has offered the Endorsement for Culturally Sensitive, Relationship-focused Practice Promoting Infant Mental Health® (IMH-E®). Endorsement® 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.

To Get Started:

  • Explore the Endorsement Credentials  to find the right fit for you by reviewing the Knowledge Areas and corresponding Competencies to learn what training, skills, and experiences you’ll need to demonstrate in your application

  • Learn about the registration process with this infographic

  • Check out the FAQ's here

  • To move forward, contact the Endorsement Coordinators