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The Infant Toddler Mental Health Coalition of Arizona

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ITMHCA Endorsement® for Culturally Sensitive, Relationship-Based Practice Promoting Infant Mental Health

Endorsement® for Culturally Sensitive, Relationship-Focused Practice Promoting Infant Mental Health is an internationally recognized credential that supports and recognizes the development and proficiency of professionals who work with or on behalf of pregnant women, infants and young children, birth up to 3-years old, and their families. The ITMHCA Infant Mental Health Endorsement® (IMH-E®) is based on a set of competencies designed to support and enhance culturally-sensitive, relationship focused practice within the framework of infant mental health. An Endorsement® applicant demonstrates acquisition of these competencies through education, work, specialized training, and reflective supervision experiences.

Working with our youngest citizens requires specialized training and experience, and IMH-E® ensures professionals have attained a certain level of expertise with 0 to 3 year-olds and their families. IMH-E® is relevant for professionals across disciplines including early care and education, prevention and early intervention, home visitation, medicine, child welfare, mental health, policy, academia, and others.


Endorsement Is Good For Babies


Endorsement® is available across five different practice specialties spanning the continuum of care. Individuals apply for the Endorsement® category that best matches their scope of practice.

Infant Mental Health Endorsement® Categories

ITMHCA gratefully acknowledges support from the Michigan Association for Infant Mental Health and the W. K. Kellogg Foundation for the creation of the Endorsement® materials, and from the Lodestar Foundation to initially fund Arizona implementation.

ITMHCA is a member of the Alliance for the Advancement of Infant Mental Health. As of March 2024 there are 35 U.S. state associations for infant mental health and two international associations in Ireland and Australia who have licensed the use of the Competency Guidelines (MI-AIMH Copyright © 2017) and/or the Endorsement for Culturally Sensitive, Relationship-Focused Practice Promoting Infant & Early Childhood Mental Health®. See the members of the Alliance here.

ITMHCA Endorsement® decisions are not made on the basis of race, sex, age, religion, color, national origin, marital status, physical handicap, sexual orientation or any other basis prohibited by state or federal law.

Endorsement® Categories

Endoresement Categories
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For questions about Endorsement® please email