B. Little

The accused, previously found not criminally responsible, was subject to a disposition allowing community privileges.

After a positive drug screen, he eloped for three days.

Upon his return, the hospital significantly increased the restrictions on his liberty by admitting him to a high secure unit.

The Ontario Review Board held a hearing under s. 672.81(2.1) of the Criminal Code and found that the hospital's decision to readmit him to the secure unit and the continued restrictions were necessary, appropriate, and represented the least onerous and least restrictive response available.

The hospital notified the Ontario Review Board of a significant increase in the restriction of the accused's liberty following his readmission to the hospital from a community residence.

The accused, who has schizophrenia and a history of substance use, was found in possession of knives and experiencing increased paranoia and cravings.

The Board held a hearing under s. 672.81(2.1) of the Criminal Code and found that the hospital's decision to readmit the accused and his continued detention were necessary and appropriate to manage his risk to public safety.

The Ontario Review Board held a hearing to review two Restrictions of Liberty (ROL) imposed on the accused, who was previously found not criminally responsible for possession of a weapon for a dangerous purpose.

The hospital restricted the accused's liberties after his mental status significantly deteriorated following a fall, leading to disorganization, paranoia, and aggressive behavior.

The Board found that both the March and April ROLs were warranted, necessary, and represented the least onerous and least restrictive measures to stabilize the accused's mental health.

The Ontario Review Board held a hearing to review a restriction of liberty (ROL) imposed on the accused, who had been living in the community but was readmitted to the hospital due to decompensation and substance use.

The hospital sought to stabilize the accused while awaiting a more supportive housing placement.

The Board found that the ROL was necessary and warranted to protect the public and prevent further decline in the accused's mental state.

The Board ordered the continuation of the current disposition, noting the accused remains a significant threat to public safety but supporting his transition to new supportive housing.

The Ontario Review Board held a hearing to review a significant increase in the restriction of the accused's liberty following his readmission to the hospital.

The accused, who has schizophrenia, requested readmission due to delusions of being sexually assaulted, which were attributed to inadequate antipsychotic treatment and medication non-compliance.

The Board found that the initial and ongoing restrictions of liberty were necessary, appropriate, and the least restrictive option available to manage the increased risk presented by the accused.

The Ontario Review Board convened a hearing under s. 672.81(2.1) of the Criminal Code to review the hospital's decision to restrict the accused's privileges following a psychotic deterioration and aggressive behaviour.

The accused, who had been found NCR for assaulting a peace officer, agreed with the hospital's position.

The Board found that the removal of privileges was warranted and that the gradual return to his baseline liberty norm of 30-minute indirectly supervised passes was the least onerous and least restrictive decision available.

The Ontario Review Board held a Restriction of Liberty hearing after the accused, who was previously found not criminally responsible and discharged to live in the community, was returned to the hospital.

The accused had been involved in a motor vehicle accident, fled the scene, and subsequently experienced suicidal ideation and mood changes.

The hospital readmitted him to stabilize his condition.

All parties agreed that the hospital's decision to return the accused to the hospital was warranted and represented the least onerous and least restrictive option available.

The Board accepted the joint recommendation and found no basis to issue a new Disposition.

The Ontario Review Board held a hearing to review a restriction of liberty imposed on the accused, who is detained at a forensic mental health hospital.

The hospital had reduced the accused's privileges to zero after discovering contraband substances and drug paraphernalia in his room, following an incident where multiple patients consumed crystal methamphetamine.

The Board accepted the hospital's evidence, including testimony that the accused had a history of substance abuse linked to psychosis and criminal behaviour, and possessed only superficial insight into his condition.

The Board concluded that the restriction of liberty was necessary, appropriate, and the least restrictive option available to manage the accused's risk.

The Ontario Review Board held an annual review hearing for an accused found not criminally responsible for forcible entry.

The accused, diagnosed with schizophrenia and cannabis use disorder, requested an absolute or conditional discharge.

The hospital and Attorney General recommended continuing the detention order.

The Board found that the accused continues to experience entrenched grandiose delusions, lacks insight into his illness, and relies on external controls to maintain medication adherence.

Concluding that the accused remains a significant threat to the safety of the public, the Board ordered the continuation of the detention order.

The Ontario Review Board held an annual hearing to review the disposition of the accused, who was found not criminally responsible for several offences including carrying a concealed weapon and criminal harassment.

The accused sought an absolute discharge, while the hospital and the Attorney General recommended continuing the detention order with the addition of 7-day passes.

The Board found that the accused remains a significant threat to public safety due to his history of violence, substance abuse, and escalating sexually inappropriate behaviour towards female staff.

The Board ordered the continuation of the detention order with the recommended modifications.

The Ontario Review Board held an annual hearing to review the disposition of the accused, who was previously found not criminally responsible for assault with a weapon.

The accused, diagnosed with schizophrenia and a substance use disorder, had shown clinical stability and improved insight following a medication change.

The Board found that the accused remains a significant threat to public safety and ordered the continuation of the detention order, but expanded his community pass privileges to Southern Ontario as recommended by the hospital.

The accused was found not criminally responsible for arson after setting fire to his home while experiencing hallucinations related to Parkinson's Disease.

At the initial disposition hearing, the Hospital and Attorney General recommended a detention order, while the accused sought a conditional discharge.

The Review Board found that the accused remains a significant threat to public safety due to his cognitive decline, history of alcohol use, and lack of insight.

A detention order was imposed to allow the Hospital to assess his medical needs, medication compliance, and appropriate supportive housing.

The Ontario Review Board held an annual hearing for an accused previously found unfit to stand trial on charges of assault causing bodily harm and mischief.

The accused, diagnosed with schizophrenia and a mild intellectual disability, has a history of aggressive and violent behaviour.

The treating psychiatrist testified that the accused's clinical presentation remains unchanged, with treatment-refractory symptoms and prominent thought disorganization.

The Board concluded that the accused remains unfit to stand trial and continues to pose a significant threat to public safety.

A detention order with the same terms and conditions as the current disposition was ordered.

The Ontario Review Board held an annual review hearing for the accused, who was found not criminally responsible for second-degree murder.

The accused has diagnoses of schizophrenia and substance use disorders.

The evidence indicated that the accused continues to struggle with substance use, which exacerbates his psychotic symptoms and leads to non-compliance with medication.

The Board accepted the treating psychiatrist's opinion that the accused remains a significant threat to public safety.

The Board ordered the continuation of the detention order with the existing terms and conditions.

The Ontario Review Board held a hearing to review a significant increase in the restriction of the accused's liberty after he was placed in seclusion for 14 days following an unprovoked assault on a co-patient.

The Board applied the Campbell framework and found that the seclusion constituted a significant increase in the restriction of liberty.

However, the Board concluded that the hospital's actions were reasonable, warranted, and represented the least onerous and least restrictive course of action available to manage the heightened risk posed by the accused's mental decompensation and aggressive behaviour.

The Ontario Review Board held a hearing to review the restriction of the accused's liberties after his hospital privileges were suspended.

The accused, who has delusional disorder, was administered long-acting antipsychotic medication against his will after his appeals regarding incapacity to consent to treatment were exhausted.

Due to his resulting agitation, aggression, and expressed desire to flee the country, the hospital suspended his level 3 privileges.

The Board found that the restriction of liberties was warranted given the risk of elopement and his aggressive behaviour, noting that privileges were restored once his condition stabilized.

The Ontario Review Board held an annual hearing to review the conditional discharge of the accused, who was found not criminally responsible for assault causing bodily harm.

The accused, diagnosed with schizophrenia, had been living in the community but continued to experience breakthrough symptoms and required assistance with social boundaries.

The treating psychiatrist recommended continuing the conditional discharge but removing the specific residence requirement to allow the accused to move to a residential care facility.

The Board found that the accused remained a significant threat to public safety due to his limited insight and risk of relapse if unsupervised, and ordered the continuation of the conditional discharge with the requested modification.

The Ontario Review Board conducted an annual review of the accused's disposition.

The accused, who has schizoaffective disorder, was previously found unfit to stand trial on a charge of aggravated assault.

Based on the hospital report and testimony from the treating psychiatrist, the Board found that the accused remains unfit to stand trial as he cannot meaningfully participate in proceedings or instruct counsel.

The Board concluded the accused is not permanently unfit but continues to pose a significant threat to public safety due to treatment-refractory psychosis and a history of violence when unwell.

The Board ordered the continuation of the existing detention order.

The Ontario Review Board conducted an annual review of the disposition for an accused found not criminally responsible for second-degree murder.

The accused sought to amend his detention order to remove the requirement for supervised accommodation and to permit the use of cannabis.

Relying on uncontroverted expert psychiatric evidence, the Board found that the accused's substance-induced psychosis and borderline personality disorder require strict monitoring.

The Board concluded that the accused remains a significant threat to public safety and ordered the continuation of the detention order with a new condition prohibiting contact with the victim's family.

The hospital requested an early hearing to review the accused's disposition, asserting he was now fit to stand trial.

The Ontario Review Board held a hearing and, based on expert psychiatric evidence, found that the accused's schizophrenia symptoms had improved and he could meaningfully participate in his criminal proceedings.

The Board ordered the accused returned to court and issued a Keep Fit Order to ensure his stability is maintained at the hospital pending trial.