K. Hand

The accused, previously found not criminally responsible for mischief and uttering threats, was subject to an annual Review Board hearing.

The Hospital initially supported an absolute discharge but changed its position after evidence of the accused's recent threatening conduct and medication resistance.

Applying the Winko test, the Board found that the accused continues to pose a significant threat to public safety.

The Board ordered a conditional discharge, requiring the accused to reside in supported housing and undergo regular substance screens, but declined to impose a weapons prohibition.

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

The accused sought increased privileges, including overnight travel passes.

The hospital and the Attorney General opposed any changes, citing the accused's persistent delusions, lack of insight, and recent aggressive behaviour.

The Board found that the accused continues to represent a significant threat to public safety and ordered that the current detention disposition at the forensic hospital remain in place without increased privileges.

The accused, previously found not criminally responsible for violent offences, was subject to a conditional discharge.

Following the removal of an abstinence clause, he resumed consuming large amounts of cannabis and alcohol, leading to decompensation, paranoid delusions, and sexually inappropriate behaviour.

He voluntarily returned to the hospital.

The hospital and Crown sought a detention order with an abstinence clause, while the accused sought to maintain the conditional discharge.

The Ontario Review Board found that the accused continues to pose a significant threat to public safety and that a conditional discharge is insufficient to manage his risk.

The Board ordered a detention order with conditions including absolute abstinence from alcohol and cannabis.

The Ontario Review Board conducted an annual review for an accused found not criminally responsible for manslaughter.

The Board found that the accused continues to pose a significant threat to public safety due to his schizophrenia and schizoid personality disorder.

However, noting his significant progress, medication compliance, and successful transition to a supervised group home, the Board accepted a joint submission for a Conditional Discharge.

The disposition includes conditions that he reside in a private room in supervised supportive housing associated with Durham Mental Health Services.

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

The accused is currently detained at Ontario Shores Centre for Mental Health Sciences.

All parties agreed that the accused continues to pose a significant threat to the safety of the public due to his diagnoses of schizophrenia and antisocial personality disorder, as well as his history of violence and non-compliance.

The Board ordered that the accused remain subject to a detention order with privileges, finding it to be the least onerous and least restrictive disposition necessary to protect the public while supporting his reintegration.

The Ontario Review Board held a mandatory hearing under s. 672.81(1) of the Criminal Code for an accused previously found not criminally responsible for assault with a weapon and forcible confinement.

The accused had been abstinent from cannabis, which was a major trigger for his psychosis, and was living safely in the community with his family.

The Board found that the accused remains a significant threat to public safety due to diagnostic uncertainty and the recency of his transfer to a new treatment team.

However, the Board concluded that a conditional discharge was the least onerous and least restrictive disposition necessary and appropriate in the circumstances.

The accused, previously found not criminally responsible for assault, appeared before the Ontario Review Board for an annual review.

The Board found that he continues to pose a significant threat to public safety due to his brittle psychotic illness, lack of insight, and history of medication noncompliance.

Despite a positive year and adherence to medication, the Board concluded a detention order remains necessary to manage the stressors of his return to university and to ensure the hospital can approve his residence and intervene quickly if his mental health deteriorates.

The Ontario Review Board held an annual review hearing for an accused found not criminally responsible for robbery and assault offences.

The accused, diagnosed with schizoaffective disorder, had been living in the community under a Detention Disposition.

The Board found that the accused continued to pose a significant threat to public safety due to his brittle psychiatric illness and history of violence.

However, noting his medication compliance and stability in a highly supported complex care home, the Board ordered a Conditional Discharge with strict conditions, including a specific residency requirement at his current supportive housing facility.

The Ontario Review Board conducted a mandatory review of the accused's conditional discharge disposition.

The accused, previously found not criminally responsible for dangerous operation causing death, requested the removal of a substance prohibition clause from his disposition.

The Board accepted the hospital's psychiatric evidence that the accused's complex neurological and psychiatric diagnoses made him highly vulnerable to destabilization from substance use.

The Board found that the accused continues to pose a significant threat to public safety and ordered the continuation of the conditional discharge with the substance prohibition clause intact.

The Ontario Review Board held a mandatory annual review hearing for an accused found not criminally responsible for assault and breach of probation.

The accused is diagnosed with schizophrenia, cannabis use disorder, and antisocial personality disorder.

Despite making steady progress with treatment and remaining compliant with medication, the accused incurred new criminal charges involving an imitation firearm while at a group home.

The Board accepted the hospital's evidence that the accused would pose a very high risk for physical violence if he stopped his medication and resumed substance use.

The Board concluded the accused remains a significant threat to public safety and ordered the continuation of the existing Detention Disposition.

The Ontario Review Board held a hearing to review the restriction of liberty and disposition of the accused, who was previously found not criminally responsible for first-degree murder.

The accused had been living in the community but was readmitted to the hospital after stopping his antipsychotic medication, experiencing psychotic symptoms, and being involved in a motor vehicle accident.

The Board accepted the psychiatric evidence that the readmission was necessary to manage his risk.

The Board found that the restriction of liberty was appropriate and that the accused continues to pose a significant threat to public safety.

The existing disposition was continued without a driving prohibition clause.

The Ontario Review Board conducted a mandatory annual review of the accused's detention disposition.

The accused, who was found not criminally responsible for aggravated assault, has schizophrenia and recently transitioned to a supervised group home in the community.

Based on the hospital's evidence and the joint position of the parties, the Board found that the accused continues to pose a significant threat to public safety.

The Board ordered the continuation of the existing detention disposition to ensure the hospital maintains the ability to approve accommodation and manage the accused's risk.

The Ontario Review Board held an annual review hearing for an accused found not criminally responsible for assault with a weapon.

The accused, diagnosed with treatment-refractory schizophrenia, sought an absolute discharge or transfer to a less secure setting.

The Board found the accused continues to pose a significant threat to public safety due to ongoing psychotic symptoms, lack of insight, and a history of violence.

The Board ordered continued detention in a high secure forensic facility but added terms requiring the hospital to report on the implementation of a finger-prick blood monitoring system to facilitate the accused's willingness to try clozapine.

The accused, previously found not criminally responsible for aggravated assault, was subject to an annual review hearing by the Ontario Review Board.

All parties agreed that the accused continued to pose a significant threat to public safety but supported his transfer from a high-secure facility to a less secure setting at CAMH.

The Board found that the accused remained a significant threat but concluded that continued high-security detention was no longer the least onerous and least restrictive disposition.

The Board ordered the accused's transfer to CAMH by a specified date, failing which a pre-hearing conference would be convened to address the delay.

The accused was found not criminally responsible for dangerous driving and fleeing police.

At the initial Ontario Review Board hearing, the Board considered whether the accused remained a significant threat to public safety.

The Board found that the accused's history of non-compliance with treatment, ongoing psychotic symptoms, and substance use elevated his risk profile.

The Board concluded that a Detention Order with community living was the least onerous and least restrictive disposition necessary to manage the risk and protect the public, rejecting a request for a Conditional Discharge.

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

The accused, diagnosed with schizoaffective disorder and substance use disorder, was currently detained at a hospital with community privileges.

The treating psychiatrist testified that the accused remained hypomanic and required further stabilization before transitioning to community living.

The Board found that the accused continued to pose a significant threat to public safety due to her major mental illness, history of unreliable treatment adherence, and risk of relapse.

The Board ordered the continuation of the existing detention disposition with an amendment to her community reporting conditions.

The accused was found not criminally responsible for two counts of aggravated assault after stabbing two victims while experiencing psychosis exacerbated by cannabis use.

At the initial Ontario Review Board hearing, the Board found the accused remained a significant threat to public safety due to his treatment-resistant schizophrenia, poor insight, and history of medication non-adherence.

Relying on uncontroverted expert psychiatric evidence, the Board ordered a Detention Order with privileges including accompanied travel passes.

The Ontario Review Board held a hearing to review the restriction of liberty imposed on an NCR accused by the North Bay Regional Health Centre.

Following an incident where the accused assaulted four staff members, he was transferred to a secure forensic unit and placed in seclusion.

The Board applied the framework from R. v. M.L.C. and found that the initial restriction of liberty on June 7, 2025, and its continuation until July 7, 2025, were necessary, warranted, and the least onerous and least restrictive interventions to stabilize his mental state and protect public safety.

The Ontario Review Board held a hearing to make an initial disposition for an accused found unfit to stand trial on multiple sexual offences.

The accused suffers from schizophrenia and a moderate intellectual disability.

Based on expert evidence and a joint submission, the Board concluded the accused remains unfit to stand trial as he cannot understand the nature or consequences of the proceedings or meaningfully communicate with counsel.

The Board ordered the accused detained at the Thunder Bay Regional Health Hospital.

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

The accused, who suffers from schizophrenia, is a dual status offender currently serving a custodial sentence for a subsequent aggravated assault.

The Board unanimously found that the accused continues to represent a significant threat to the safety of the public.

The Board ordered that upon his release from custody, the accused shall be subject to a Detention Order at the Centre for Addiction and Mental Health, with an added condition prohibiting the possession of weapons.