Clinical, Policy, or Research/Faculty

Level IV Pic



Prerequisite Requirements

Professional Membership
Membership in IAITMH or another infant mental health association
If you are not already a member of IAITMH (or another IMH association), you must join IAITMH at the time you submit your preliminary application.

Endorsement® Requirements

Master of Arts (MA), Master of Science (MS), Master of Education (Med), Doctorate in Education (EdD), Master of Social Work (MSW), Master of Nursing (MSN), Doctor of Psychology (PsyD), Doctor of Philosophy (PhD), Medical Doctor (MD), Doctor of Osteopathy (DO) or other degree specific to one’s professional focus in infant mental health, postgraduate specialization, or university certificate program; in accordance with Endorsement® Competencies. Official transcripts are required.

Minimum 30 clock hours of relationship-based education and training pertaining to the promotion of social-emotional development and/or the practice of infant mental health. Applicants will include as many hours as necessary to document that competencies (as specified in Competency Guidelines below) have been met.

Specialized Work Experience

  • Clinical
    • Meets specialized work experience as specified in Level III plus three years of postgraduate experience providing infant mental health reflective supervision/ consultation and other leadership activities at the regional or state level.
  • Policy
    • Three years of postgraduate experience as a leader in policy and/or program administration related to the infant/family field and other leadership activities at the regional or state level.
  • Research/Faculty
    • Three years of postgraduate experience as a leader in university-level teaching and/or published research to the infant/family field and other leadership activities at the regional or state level.

Examples of Leadership Activities

  • Clinical
    • Organize and facilitate reflective practice groups and/or IMH study groups
    • Provide reflective supervision or consultation to IMH practitioners
    • Participate in system of care planning initiatives
    • Leadership in local/state IMH association
  • Policy
    • Provide feedback to state agencies on current and proposed policies that promote IMH practices
    • Provide presentations on IMH, its importance, and its role in all early childhood disciplines/systems
    • Participate in regional-, state- and nation-level policy making groups, representing IMH principles
  • Research/Faculty
    • Provide leadership in graduate certificate IMH programs
    • Participate in interdepartmental efforts to integrate IMH competencies into appropriate syllabi
    • Participate as member of doctoral applicant’s committee when IMH-related topics are proposed
Reflective Supervision/Consultation
Relationship-based, reflective supervision/consultation with an approved supervisor/consultant, individually or in a group; minimum 50 clock hours within a one- to two-year timeframe.
(Required for Clinical; Optional for Policy or Research/Faculty)

Professional Reference Ratings
Note: At least one rating must come from someone who has earned Endorsement® at Level II, III, or IV

  • Clinical
    • One from current program supervisor, teacher, trainer, consultant, or colleague
    • One from person providing reflective supervision/consultation to the applicant
    • One from person receiving reflective supervision/consultation from the applicant
  • Policy
    • One from current program supervisor, teacher, trainer, or consultant, if applicable
    • One from person providing reflective supervision/consultation, if applicable
    • If no one available from first two categories, applicant may ask three colleagues
  • Research/Faculty
    • One from current department supervisor or chair if he/she is familiar with IMH. If not, ask a colleague
    • One from person providing reflective supervision/consultation, if applicable. If not, ask a colleague
    • One from a student taught and/or supervised by the applicant


Code of Ethics and Endorsement® Agreement

Documentation of Competencies
  • Application will document that requirements and competencies have been adequately met through specialized education, in-service training, work, and, for Clinical applicant, through reflective supervision/consultation experiences
  • Successful completion of the IAITMH written examination

Download Level IV Competency Guidelines

**The materials supporting the IAITMH Endorsement for Culturally Sensitive, Relationship-focused Practice Promoting Infant Mental Health® are copyrighted by the Michigan Association for Infant Mental Health (MI-AIMH). IAITMH is able to make these materials available to our members and collaborators through a licensing agreement with 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. **