8 minutes
How we still quiz and shrink A pop quiz, a two-hour meeting, and “they seemed fine” are how support becomes a smaller life.
What you’ll be able to do Identify the practical implication of “How we still quiz and shrink” and apply it to one live DHS decision connected to Brain Injury and Complex Disability. Compare the responses to this question and explain your choice: What should happen before the work is locked? Document a next step for How we still quiz and shrink: Choose one live work object, name a change or formal escalation, assign an owner, and set the date the result will be reviewed. A smaller week is often the injury doing its work. It is not proof they do not care. The pattern is older than the waiver Minnesota wrote a Brain Injury Waiver and person-centered practice into the work. Teams still start with a memory test. Clinics still run long. Notes still compare this Tuesday to a person who existed before the crash. Direct support still gets blamed when a plan required a battery the person did not have at 4 p.m.
In this lesson Name quiz-as-assessment as a practice, not a one-off.
See how “they seemed fine” erases fatigue.
Separate a needed review from a shame test.
Spot the three usual shrinks: quiz, overbook, freeze last year.
How Minnesota named the work BI Waiver — A community life after injury Home and community-based services for acquired or traumatic brain injury. A funding path. Not a personality test.
Person-centered — This year’s person Planning is not last year’s goals copied forward. The injury may still be changing.
Alliance — Resource facilitation Minnesota Brain Injury Alliance and partners help people and families navigate. Use them. Do not replace them with a quiz.
245D — Rights still apply Memory loss does not cancel dignity, informed choice, or a community life.
Now — This course Staff still write “unmotivated.” The waiver did not finish the work. The note is the work.
Three shrinks that still work The pop quiz “Do you remember what we said last time?” If they fail, we doubt the injury. Memory is the finding. It is not a character score.
The overbooked hour A two-hour meeting with three topics. They nod. They crash in the parking lot. We call the hour a success because they stayed.
Last year’s person We plan for who they were before the crash, or for the best Tuesday last spring. A changing brain needs a dated review, not a frozen photo.
Getting there was already work. The meeting still has to fit the battery that is left. Myths that still sit in the room If they can laugh, they can follow through
Humor and a good hour are not a full tank. Fatigue can drop after they leave your sight.
Inconsistent memory means they are lying
Brain injury is often inconsistent. A good day is data. A blank day is also data. Both can be true.
They need to try harder to attend
Try-harder is not a rehab plan. A reminder, a ride, a shorter visit, and a written next step are.
Waiver means they are already supported
A funding stream is not a Tuesday method. The plan still has to fit this brain this week.
Same person, three readings Character Quiz Pace and write
“They no-showed. Unmotivated. They remember when they want to.” The brain is not in the sentence.
“Prove you remember last month, then we will talk about work.” Access as a prize.
“Here is last month on paper. What still fits. Here is a 30-minute visit. Here is the next step in your pocket.”
Which shrink is this? Opening with “What did we decide last time?” with no notes in front of them.
Choose a category Pop quiz Overbooked hour Last year’s person A two-hour meeting after they already used the morning at a clinic.
Choose a category Pop quiz Overbooked hour Last year’s person Copying pre-injury work goals without asking this year’s energy.
Choose a category Pop quiz Overbooked hour Last year’s person Three topics in one visit because “we might not get them back.”
Choose a category Pop quiz Overbooked hour Last year’s person Treating a good Tuesday last spring as the new baseline forever.
Choose a category Pop quiz Overbooked hour Last year’s person Check matches Reset Next: who is missed — whose injury never gets believed, and whose stack never makes the plan.
Put this lesson to work What you can change You control whether how we still quiz and shrink changes a live DHS process connected to Brain Injury and Complex Disability or remains information on a page.
What to watch for The team completes the learning, keeps the same default, assigns no owner, and never checks who carries the burden.
Your next step Choose one live work object, name a change or formal escalation, assign an owner, and set the date the result will be reviewed.
Carry this forward A pop quiz, a two-hour meeting, and “they seemed fine” are how support becomes a smaller life.
You control whether how we still quiz and shrink changes a live DHS process connected to Brain Injury and Complex Disability or remains information on a page.
Choose one live work object, name a change or formal escalation, assign an owner, and set the date the result will be reviewed.
Completion is shown by a scenario decision, a knowledge-check response, a completed sort and a saved one-minute commitment.
Choose one live work object, name a change or formal escalation, assign an owner, and set the date the result will be reviewed.
Browse and download only. Course notes are not typed or saved on this page.
Reset this lesson
Previous lesson Next lesson Carry this into practice The person you met last year may not be the person in the room today — slow down, and write it down.
Return to the experience: What did you notice or try, whose perspective informed it, and what would you keep or adjust?
Participation and course completion in this program do not count toward DHS-required training credits unless management, a director, or DHS leadership expressly approves an exception.
