Exam Procedures
Infant Mental Health Specialist applicants and Infant Mental Health Mentor applicants whose portfolios are approved must pass the Infant Mental Health Endorsement exam. The exam has two parts which include 60 multiple choice questions and essay responses. Applicants have 90 minutes to complete each part for a total of 3 hours to complete the entire exam. Applicants need a score of 80% or higher on both parts of the exam to pass and become endorsed. The exam is offered and reviewed four times a year (see Endorsement Timeline and Deadlines).

Part One (90 minutes)

Part One includes the same 60 multiple choice questions for all Level III and IV applicants. The questions will cover the Endorsement Competency Guidelines, including:

  • Attachment, separation, and loss
  • Pregnancy, infant and young child development and behavior
  • Relationship-based therapeutic practice
  • Infant mental health screening and assessment
  • Disorders of infancy/early childhood
  • Cultural competence
  • Reflective practice

Part Two (90 minutes)
Part Two includes essay responses to prompts, but prompts vary depending on the Level and track for which you are applying.

Infant Mental Health Specialist (Level III)
You will respond to two of three Clinical Vignettes: Your work experiences with infants and toddlers and families, where you are working from a relationship-based perspective practicing infant mental health, are crucial. Your experience of reflective supervision, individual or group, is also important to consider while responding.

Infant Mental Health Mentor – Clinical (Level IV)
You will respond to two of three Clinical Vignettes:  One clinical vignette/Scenario is a supervisory vignette/scenario and must be answered from the perspective of the supervisor. One of two clinical vignettes/scenarios must be answered from the perspective of the infant mental health specialist/practitioner.

  1. Your work experiences with infants and toddlers and families, where you are working from a relationship-based perspective practicing infant mental health, are crucial.
  2. Your experience of reflective supervision, individual or group is also important.
  3. Your experience as a supervisor/consultant who has provided or is providing reflective supervision to practitioners working with infants, toddlers, young children and parents/caregivers is a third important guide.

Infant Mental Health Mentor – Policy (Level IV)
You will response to a Qualitative Question: You are encouraged to rely on your extensive leadership experience with the infant-family field ensuring the promotion and practice of infant mental health to respond. In particular, you are encouraged to consider:

  1. Funding
  2. Systems development
  3. All that is required to promote change across systems

 Infant Mental Health Mentor – Research/Faculty (Level IV)
You will provide a research response to a Qualitative Question: You are encouraged to rely on your extensive research and teaching experience in the infant-family field related to the study of pregnancy, infancy, early childhood and early parenthood; attachment security and relationship needs; risk and resiliency in the early years; caregiving practices; early assessment and intervention strategies, and the mental health needs of infants and toddlers, to name a few.

Exam Preparation
MI-AIMH has developed a list of suggested readings for applicants to guide them in their preparation for the exam. You can download this reading list here. →Exam Preparation

Study Groups
Some applicants have found value in forming study groups to prepare for the exam. WI-AIMH staff maintains applicants’ confidentiality throughout the application process. Thus, we cannot initiate this process. However, if you are interested in being part of a study group and would like WI-AIMH to help you connect with other interested applicants, please contact Director of Integrated Programming Carrie Finkbiner at cfinkbiner@wiaimh.org