Endorsement Categories and Requirements

 Coming Soon: Early Childhood Mental Health Endorsement (ECMH-E®), for professionals working with or on behalf of young children ages 3-6,  will be available to North Carolinians in May 2023. Keep an eye on our website for updates about ECMH categories and requirements.

The infant mental health field is cross disciplinary. It spans a range of sectors and services, from promotion, prevention, intervention to leadership. Providers working with or on behalf of pregnant people, infants, toddlers, and their families to support ongoing, healthy social emotional development with a culturally sensitive, relationship focused framework are represented within the categories of the Infant Mental Health Endorsement® (IMH-E®)

To determine which category best represents your knowledge, skills and expertise it is helpful to begin by thinking about the scope of practice aligned with your professional experience within the infant mental health field.

Categories & Requirements

Endorsement applicants across all categories demonstrate their experience in and knowledge of the competency areas specific to their scope of work (detailed within the Competency Guidelines®) by documenting the following in an online, peer-reviewed application:

  • Education
  • Professional experience
  • Continuing education or in-service training
  • References
  • Reflective supervision experiences (in some categories)

And in some cases, applicants will be asked to take an exam tailored to their scope of work. 

Each IMH-E® category has specific work, education, in-service training, and reflective supervision/consultation (RSC) requirements. Before reviewing categories and requirements below, check out Endorsement Category Flowchart to see which category might be the best fit for you! 


This table represents only a summary of the IMH-E® category requirements. Detailed information specific to each category can be viewed/downloaded below:

Infant Family Associate (IFA)

Infant Family Specialist (IFS)

Infant Family Reflective Supervisor (IFRS)

Infant Mental Health Specialist (IMHS)

Infant Mental Health Mentor Clinical (IMHM-C)

Infant Mental Health Mentor Policy (IMHM-P)

Infant Mental Health Mentor Research/Faculty (IMHM-R/F)