M.D. Segal

The accused was found unfit to stand trial on charges including assault and failing to comply with probation.

At his initial appearance before the Ontario Review Board, the hospital and Crown took the position that he remained unfit, while his counsel took no position.

The Board observed the accused's florid presentation and constant interruptions during the hearing.

Relying on the hospital's reports and the accused's presentation, the Board concluded that he remains unable to instruct counsel or participate in a trial, and ordered a disposition in accordance with the hospital's recommendations.

The accused was found not criminally responsible for second-degree murder and appeared for his initial hearing before the Ontario Review Board.

The hospital and Crown recommended a detention order with conditions, noting the accused's bipolar disorder, history of medication non-compliance, and the serious nature of the index offence.

The Board found the accused remains a significant threat to public safety and ordered his continued detention at the hospital with modified conditions, including strict reporting requirements and a geographic restriction.

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

The accused sought a transfer to a less secure hospital.

The Board accepted the treating psychiatrist's evidence that the accused requires a longer period of stability, engagement in therapeutic programs, and better management of substance use issues before a transfer can be considered.

The Board concluded that the accused continues to pose a significant risk to public safety and ordered no change to the current disposition.

The Ontario Review Board held an annual review hearing for an accused found not criminally responsible for various offences including robbery and dangerous driving.

The accused, diagnosed with schizophrenia, continued to experience psychotic symptoms and violent thoughts, and remained resistant to medication.

The Board accepted the uncontroverted evidence of the hospital's psychiatrist that the accused remained a significant threat to public safety.

The Board ordered the continuation of the existing detention order at the high secure forensic program, with a recommendation for transfer to the Institute of Philippe-Pinel in Quebec.

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

The Board found that the accused continues to pose a significant threat to public safety due to a history of violent behaviour, poor impulse control, and limited insight.

However, noting recent behavioural improvements, the Board ordered the accused transferred from a secure forensic program to a less secure all-male unit to facilitate rehabilitation and address inappropriate sexual impulses.

The disposition included conditions such as a weapons prohibition.

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

The accused, diagnosed with schizophrenia, continues to experience auditory hallucinations but has remained stable within the structured hospital environment.

The Board accepted the uncontroverted evidence that the accused continues to pose a significant threat to public safety.

The Board ordered the continuation of the current disposition, detaining the accused at the hospital with escorted grounds privileges.

The Ontario Review Board held an annual review hearing for an accused found not criminally responsible for attempted murder and other offences.

The accused, who has schizophrenia, experienced a period of seclusion after an unprovoked incident of spitting on co-patients.

The Board applied the Campbell framework and found that the significant increase in the restriction of his liberty was necessary and appropriate.

Accepting the uncontroverted psychiatric evidence, the Board concluded that the accused continues to pose a significant threat to public safety and ordered the continuation of his current disposition at the high-secure forensic hospital.

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

The accused, diagnosed with schizophrenia, is detained at a high-secure forensic hospital.

Based on a joint submission and psychiatric evidence indicating ongoing significant threat, the Board concluded that the current disposition and its terms continue to be appropriate to manage the risk.

The Ontario Review Board held an annual review hearing for an accused found not criminally responsible for forcible entry, mischief, and assaulting a peace officer.

The accused has schizoaffective disorder and substance use disorders.

Despite maintaining community housing, the accused recently relapsed into alcohol and cocaine use, requiring hospital readmission.

The Board accepted the joint position of the parties and the uncontroverted psychiatric evidence that the accused continues to pose a significant threat to public safety.

The Board ordered the continuation of the current Detention Order as the least onerous and least restrictive disposition.

The Ontario Review Board held an annual hearing for an accused found not criminally responsible for sexual assault and threatening to use a weapon.

The accused, who suffers from a severe traumatic brain injury, resides at a secure hospital and participates in vocational programs.

All parties agreed that the accused continues to pose a significant threat to public safety and that the current disposition remains appropriate.

The Board added a weapons prohibition to the disposition, noting it would not impact his current vocational activities but would be relevant if he were transferred to a less secure facility or a general hospital.

The Ontario Review Board held an initial disposition hearing for the accused, who was found unfit to stand trial on charges including assault with a weapon.

The accused, diagnosed with schizophrenia, attacked a family member with a knife.

The Board accepted the hospital's evidence that the accused remains unfit to stand trial due to ongoing psychotic symptoms and an inability to instruct counsel.

The Board ordered the accused to be detained at the Waypoint Centre for Mental Health Care with specific privileges, finding that his risk could not be managed in a less secure facility.

The Ontario Review Board held an annual review hearing for an accused found not criminally responsible for uttering a threat to damage property.

The accused, diagnosed with schizophrenia, experiences significant anxiety regarding community living and fears re-offending.

The Board accepted the uncontroverted evidence of the hospital's doctor that the accused continues to pose a significant threat to public safety.

The Board ordered a Detention Disposition with existing conditions and a 24-month review period, encouraging the hospital to provide spiritual support and relapse prevention programming.

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

The accused sought a transfer to a less secure facility.

The treating psychiatrist opposed the transfer, citing the recency of the accused's improvements on new medication and the need for ongoing support.

The Board found that the accused had shown remarkable progress and, given the lengthy waitlist for a transfer, ordered the transfer to CAMH with the current conditions remaining in place.

The Ontario Review Board held an annual review hearing for an accused found not criminally responsible for uttering threats and breaching a recognizance.

The Hospital and the Attorney General recommended maintaining the current detention disposition at a high secure forensic facility, citing the accused's ongoing aggressive and sexually inappropriate behaviours.

The Board accepted the uncontroverted evidence of the forensic fellow that the accused continues to pose a significant threat to public safety and requires the structure of a high secure setting.

The Board ordered a Detention Disposition with the existing privileges and conditions.

The Ontario Review Board held an annual review hearing for the accused, who was previously found not criminally responsible for assault.

The hospital and the Attorney General submitted that the accused continues to pose a significant threat to public safety, which the accused did not contest.

The Board accepted the uncontroverted evidence that the accused's physical health has declined and he requires a high level of support, but continues to display unpredictable aggression.

The Board ordered the continuation of the existing Detention Order while the hospital searches for an appropriate long-term care placement.

The Ontario Review Board held an annual review for an accused previously found unfit to stand trial on charges including uttering threats and assaulting a peace officer.

The accused suffers from schizophrenia and autism spectrum disorder.

Based on the psychiatric evidence, the Board concluded that the accused remains unfit to stand trial, is likely permanently unfit, and continues to pose a significant risk to public safety.

The current Disposition and its terms were maintained.

The Ontario Review Board held an annual hearing for an accused found not criminally responsible for attempted murder.

The accused has treatment-resistant schizophrenia and a history of medication noncompliance and unprovoked violence.

The attending psychiatrist testified that the accused remains a significant threat to public safety and requires ongoing detention in a highly supportive hospital environment.

The Board accepted this evidence, finding that the accused continues to pose a significant threat, and maintained the Detention Order.

The Ontario Review Board held an annual hearing and a Restriction of Liberty hearing for an accused found not criminally responsible for various offences, including assault and criminal harassment.

The accused, diagnosed with Bipolar Disorder, had been readmitted to the hospital due to a severe manic episode despite adherence to medication.

The Board found the Restriction of Liberty was justified and ordered that the current Disposition of a Detention Order be maintained, with the modification that reporting be increased to once a week.

The patient, who was found not criminally responsible for arson in 2016, appeared for her annual Review Board hearing.

She sought a Conditional Discharge, while the hospital and Crown sought a continuation of her Detention Order.

The Board accepted the psychiatric evidence that the patient's schizoaffective disorder remains fragile, particularly due to an ongoing sleep disorder that can trigger psychotic symptoms and impulsive behaviour.

The Board concluded that the patient continues to pose a significant threat to public safety and ordered the continuation of the Detention Order, with minor modifications to travel passes and reporting requirements to ensure it remains the least onerous and least restrictive disposition.

The accused, who was found not criminally responsible for robbery in 2007, appeared before the Ontario Review Board for an annual hearing.

The accused has treatment-refractory schizophrenia and a history of substance use and elopement attempts.

The hospital, the Attorney General, and the accused jointly submitted that the current Detention Order with privileges up to community living in 24-hour supervised accommodation remained necessary and appropriate.

The Board accepted the joint submission and the evidence of the treating psychiatrist, concluding that the accused's continued risk profile warranted maintaining the current Disposition without changes.