The accused, who was found not criminally responsible for arson, was subject to an annual review by the Ontario Review Board.
The accused sought an absolute discharge, arguing he was no longer a significant threat to public safety.
The hospital and the Attorney General sought a continuation of the detention order.
The Board found that the accused's ongoing substance use, particularly crack cocaine, acted as a destabilizer that increased his risk of psychiatric decompensation and violence.
Applying the Winko framework, the Board concluded the accused remained a significant threat to public safety and ordered the continuation of the detention order as the least onerous and least restrictive disposition.