IMH Endorsement ®

IMPORTANT: Beginning January 1, 2018, all new Endorsement applicants are required to receive all RC/S hours from an Endorsed provider in order to meet the requirements for Endorsement. Additional details, frequently asked questions, and other supporting documents can be found on the Reflective Supervision page. Please direct all questions to Jean Cimino, CoAIMH’s Endorsement Coordinator.

Overview of IMH Endorsement®
The Endorsement for Culturally Sensitive, Relationship-Focused Practice Promoting Infant Mental Health (IMH-E ®) is not a license or certification, but rather an overlay onto a person’s professional credentials that recognizes achievement of knowledge and training in the area of infant and early childhood mental health. The Endorsement is one of the first and most comprehensive efforts in the country to identify best practice competencies at multiple levels and across disciplines and to offer a pathway for professional development in the infant, early childhood and family field.

Why earn the IMH Endorsement®?

The Endorsement materials provide potential candidates with a process for developing a professional development plan, and suggests a ladder of steps for required and supplementary training and experiences to adequately prepare one for work in the infant and family field. Targeted and ongoing training for the professionals from the multiple disciplines that work with infants and young children and their families is essential to ensure that professionals understand infant and early childhood mental health and are equipped to promote positive practices to support these children, prevent problems when risk is identified, and intervene when necessary.

Who can Apply for IMH Endorsement®?

Professionals eligible for endorsement range from those who have worked in the early childhood field for at least two years to those who have received a doctorate in their field. Each level of Endorsement has a set of educational, work, training and reflective supervision/consultation requirements. For all levels, specialized work experience with infants, toddlers and their families is required.

Prerequisite Requirements:
1. Membership in CoAIMH or another IMH association*
2. Training/Education as specified and related to infants, toddlers, parents, other caregivers and families
3. Experience working with infants, toddlers, parents, other caregivers and families as specified at the desired level.

*If you are not already a member of CoAIMH (or another IMH association), you must join CoAIMH at the time you submit your preliminary application.  To join CoAIMH by credit card, go to: Membership. Please email your Membership Confirmation to Endorsement Coordinator, at

CoAIMH encourages continuing professional growth and development for all members. The Association requires professionals who have successfully completed the CoAIMH Endorsement (IMH-E®) at all levels to continue membership in CoAIMH or another IMH association and to participate annually in 15 hours of culturally sensitive, relationship-based training experiences that promote infant mental health.  Documentation of annual training is submitted via theAnnual Renewal Form and submitted by Jan 31 of each year.

Requirements of the IMH Endorsement

Click here for a table with requirements by level
For more detail:
Level I
Level II
Level III
Level IV
To obtain the reflective supervision that would qualify for the endorsement, CoAIMH has provided a list of supervisors available for contract. Please click here to view the list.
Cost of IMH Endorsement®

When beginning the endorsement process, an applicant must be a member of CoAIMH (or another infant mental health association). The Endorsement fees are set by Michigan and are consistent for reciprocity across states that use this process The annual membership fee for professionals is $45.  The Registration Fee and Endorsement Processing Fee for each level is:


Endorsement Fee Schedule
Infant Family Associate

(Level I)

Infant Family Specialist

(Level II)

Infant Mental Health

Specialist (Level III)

Infant Mental Health

Mentor (Level IV)

Registration Fee $15 $20 $25 $25
Processing Fee $25 $100 $300 $400
Total $40 $120 $325 $425


Preparing Your Application

The following documents will help you begin to prepare your a professional portfolio. We recommend you begin by reading the Getting Started, and Guidelines for Best Practices in Reflective Supervision documents. These documents will help you begin to look at how your education, work experience, trainings and supervision align with the IMH Endorsement® Competency Guidelines. Applicants are allowed one downloaded copy of the Competency Guidelines at no cost. Please do not copy or distribute the Competency Guidelines. Individuals are encouraged to send other interested applicants to the website for the Competency Guidelines.

How Do I Apply?
We have an Electronic Application System (EASy). You can begin to align your education, work experience, training, and supervision with use of the Eform.


1.  Registration

To begin your endorsement application, go to EASy and click on the register button.  It is strongly recommended that you register using a personal email address (e.g., gmail, yahoo, hotmail, etc).  Employer email servers often block messages sent by the EASy system. We also strongly recommend that you use a desktop or laptop computer; EASy is not supported for use on iPads or other mobile devices.  If you do not have access to a computer or the internet, or if you have an application that was started on paper, please contact the Endorsement Coordinator, Kym Spring Thompson at

Registration requires you to provide brief information about your specialized education, work, and reflective supervision/consultation experiences.  You will be asked to pay a registration fee (formerly known as the Preliminary Application Fee) via Paypal using a credit card.  Fees can be found in the table above.

At the time of registration, applicants must have a current membership with CoAIMH or another IMH association.  For those who need to join or renew Co-AIMH membership, you can do so here.


Registration Fees:

Infant Family Associate (Level I) – $15

Infant Family Specialist (Level II) – $20

Infant Mental Health Specialist (Level III) – $25

Infant Mental Health Mentor (Level IV) – $25


 2. Preparation of a Professional Portfolio

Once the registration information and fee have been received and your CoAIMH membership has been confirmed, EASy will email a username and password.  You may then log in, as often as necessary and from any computer with an internet connection, to build your portfolio on-line.  The professional portfolio reflects the applicant’s capabilities within the infant and family field as identified for each level of endorsement.

EASy will ask you to electronically “sign” the CoAIMH Code of Ethics and Endorsement Agreement.  You will list your specialized education, in-service training*, and reflective supervision/consultation experiences**.  Sealed transcripts are required from ALL Institutions and need to be mailed to:
Kym Spring-Thompson, PsyD
Endorsement Coordinator
950 S. Cherry St. Ste #704
Denver, CO 80246

You will be asked to list the names and email addresses for the 3 individuals who will complete reference rating form on your behalf.  EASy sends an email to each reference rater; the whole process is done electronically.  Please ask your reference raters for a personal email address so they will receive the secure link to complete the form on EASy.

If questions come up while using EASy, there is a Help button on the top right. Applicants can indicate whether the issue is technical or related to the endorsement process. There are also comment sections on most pages where applicants can ask questions or leave remarks.

EASy replaces the E-form for MI-AIMH Endorsement® and all other paper documents that were formally used to create a portfolio.

*30 hours of specialized in-service training are requited at all levels.  Eligible specialized in-service training meets the following criteria:

▪   Is culturally sensitive, relationship-focused and promotes infant mental health

▪   Relates to 1 or more of the knowledge/skill areas in the MI-AIMH Competency Guidelines

▪   Is specific to the level of endorsement at which candidate is applying

**Applicants for Level II, III, and IV-Clinical include information about the provider and nature of reflective supervision/consultation experiences.  Please refer to the Best Practice Guidelines for Reflective Supervision/Consultation for additional information about which experiences qualify toward endorsement.


3. Submission

Once the application is complete (all sections completed, reference ratings complete, transcripts uploaded by CoAIMH), the applicant may hit the Submit button that appears on his/her EASy dashboard.  The Endorsement Processing Fee will be paid via Paypal.  Endorsement Processing Fees are indicated below:

Endorsement Processing Fees:

Infant Family Associate (Level I) – $25

Infant Family Specialist (Level II) – $100

Infant Mental Health Specialist (Level III) – $300

Infant Mental Health Mentor (Level IV) – $400

The full appliction needs to be submitted by the application deadline.  For information about submission date deadlines, click here.  Shortly after the application deadline, you will be matched with an advisor.  Your advisor will review your portfolio and be available for a minimum of two appointments by phone, prior to the beginning for the Portfolio /Application Review.  The advisor provides support, answers questions and makes suggestions in regards to your portfolio.


4. Portfolio/Application Review

CoAIMH reviews portfolios twice a year.  Level I & Level II applicants receive an endorsement decision after at least two portfolio review committee members examine and approve the portfolio.  Level III & Level IV applicants move on to a written exam after at least two portfolio review committee members examine and approve. CoAIMH offers the written exam twice a year, usually in March and September and aligned with the dates MI sets.  Please click here for details related to exam dates.


5. Endorsement Examination

Level III and Level IV applicants are required to pass a written examination following portfolio approval.  The exam is offered twice a year, typically held the first week of March and first week in September in Denver.   Part One of the exam consists of 60 multiple-choice questions.  Part Two consists of responses to two vignettes, which are based upon either Level III clinical or Level IV clinical, policy or research/ faculty.  It is recommended that in preparation for the exam, you download the Recommended and Suggested Resources List and visit the webpage: for more detailed information.

How long does the Endorsement process take?
Each person will take a different amount of time depending on their formal education, specific training, and the amount of Reflective Supervision/Consultation received. However, the average time to complete the process is one to two years. Please call the Endorsement Coordinator with specific questions.
CoAIMH is committed to recognizing the expertise of professionals working with infants, toddlers and their families as well as promoting their professional development.  To this aim, we have provided a number of resources to support applicants throughout the process of achieving IMH Endorsement

Colorado Endorsement Registry
Please click here to view a list of all professionals with the Infant Mental Health Endorsement in Colorado.