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The Infant Toddler Mental Health Coalition of Arizona

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Competency Guidelines

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.

Each of the four Endorsement® categories have unique competency requirements within eight core areas, including:

Endorsement Categories:

The materials supporting the Infant Toddler Mental Health Coalition of Arizona (ITMHCA) Competency Guidelines are copyrighted by the Michigan Association for Infant Mental Health (MI-AIMH). The ITMHCA is able to make these materials available to our membership and collaborators through a licensing agreement with the MI-AIMH.

Copyright law does allow individuals to print out or make ONE copy of copyrighted material for personal, non-commercial purposes only. None of the copyrighted Endorsement documents included here may be reproduced, displayed, distributed or otherwise used in any format, including electronically, without the express written consent of MI-AIMH. Legal action will be taken against those who violate the copyright.

For questions about Endorsement® please email