Endorsement Exam

The exam has two parts, 90 minutes are allowed for each part.  Both are based on the Competency Guidelines®.

  • This section is intended to measure the applicant’s capacity to apply his/her knowledge of IMH principles and concepts into practice and to demonstrate a reflective, relationship-based approach

  • While all of the competency areas are important, the ones under the Reflection, Thinking, and Working with Others domains are important to the qualitative section for IMHS and IMHM-C exam respondents

  • Knowledge/skills gained through receiving reflective supervision/consultation (RSC) about direct service experiences (for IMHS and IMHM-C exam respondents) and about the RSC provided to others (for IMHM-C exam respondents) will be most useful in this section of the exam

  • The competencies found under Administration will be the primary focus of the IMHM-P exam

  • The competencies found under Research & Evaluation will be the primary focus of the IMHM-R/F exam

  • Theoretical Foundations and Direct Service Skills domains found within the Competency Guidelines®

  • The Theoretical Foundations and Direct Service Skill domains address an exam respondent’s IMH knowledge specific to work with infants (0-36 months) and their families

  • Within Theoretical Foundations, there will be more questions from the areas of infant/ young child development & behavior; attachment, separation, trauma grief, & loss; and disorders of infancy/early childhood

  • Within Direct Service Skills, there may be more from screening & assessment and parent-infant/very young child relationship-based therapies & practices.

  • Most questions will be related to direct service, but there will be some questions related to reflective supervision/consultation, policy, and research

  • The multiple-choice section is the same for all exam respondents: 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)

  • Knowledge gained through course work, specialized in-service training, and self-study will be most useful in this section of the exam

Part Two: Vignettes/Scenarios

Exam Preparation

Part One: Multiple Choice

To study for the exam applicants can use any materials that are specific to Infant Mental Health topics.


Two of the study materials that are most recommended by others are:


Other study materials suggestions