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Doris Robinson’s eyebrow lifted in an expression I had come to recognize as bemused patience. I was helping her dust her elderly client’s bedroom. Our conversation veered towards her concerns about her grandson, Teshawn, who lived with her. He had been born two months early, and she was concerned that at a year old he had yet to roll over. Eager to be useful, I began offering Doris advice about how to access public services that could test Teshawn for developmental disabilities and link him to interventions. When I finished my soliloquy, Doris gently let me know that she had