On 18 September 2019, Tengku Iman accepted her appointment as the patron of the J’keb Foundation, which provides support for underprivileged teenagers and runs a transition home for aged-out orphans that are required to leave orphanages when they turn eighteen. Tengku Iman served as Malaysia's Royal Patron of the Mental Illness Awareness and Support Association from 2018 to 2020. She was named as the International Patron of
World Mental Health Day in 2020 by the
World Health Organization following a recommendation made by the
World Federation for Mental Health. Her term as international patron ended in October 2021. She is also one of the jurors on the My Mind On Film Festival Competition. She stated that criminalizing suicide does not address the underlying factors and does not help reduce the number of suicides committed in Malaysia. On 5 November 2020, Tengku Iman hosted a virtual meeting via
Zoom Video Communications with students at
HELP University and abroad in the United Kingdom to discuss mental health at universities. She addressed additional strains on mental health due to the COVID-19 pandemic, causing isolation from friends and family, and offered solutions to support good mental health. In 2020, in recommendation by the World Federation for Mental Health, she was named International Patron of World Mental Health Day by the
World Health Organization. In November 2021, the Tengku Puteri was present at the launch of the Suria KLCC Group Mental Health Campaign, in
Kuala Lumpur, where she toured the structure and delivered a speech. In December 2021, she was named representative of the United Nations World Federation for Mental Health of the United Nations (ONU). Regarding her appointment, the Princess said she was "honored". In January 2022, she was present at the Green Ribbon Effective Agent Training advocacy training course at the University of Malaya Alumni Association Building: the goal of the Great Project is to guide students in offering help to cope with crises, connecting those suffering from mental distress. In June 2022, it was announced that Tengku Puteri Iman, as Patron, would have led the Malaysian delegation to the 23rd Congress of the World Federation for Mental Health in
London (which was held in June). At the event, she read her speech titled "Mental health: We can and must do better". == Marriage and issue ==