"This woman, who had limited [mental] ability, made it clear that she didn’t want any more doctors, needles, or hospitals. . . .She had been institutionalized much of her life and found comfort in her routine. Being in the hospital did not allow her to complete her rituals and created greater anxiety," said Labra, who has worked at Greystone Programs Inc., in Dutchess County, N.Y., since last January. Greystone provides residences for individuals diagnosed with developmental disabilities.