M. Mamak

The Ontario Review Board conducted an annual review of the disposition for an accused found not criminally responsible for aggravated assault due to schizoaffective disorder.

The accused continued to experience prominent symptoms of psychosis, including auditory hallucinations, but had made progress in engaging with therapeutic programming and agreed to electro-convulsive therapy.

The Board accepted the joint submission of the parties, finding that the accused continues to pose a significant threat to public safety, and ordered that his detention at the Centre for Addiction and Mental Health be maintained with the same privileges.

The accused was found not criminally responsible for mischief, break and enter, and failing to comply with a release order.

At his initial Ontario Review Board hearing, all parties agreed he remained a significant threat to public safety and should be detained at the hospital.

The hospital recommended directly supervised community passes, while the Crown and the accused sought indirectly supervised passes.

The Board found that the accused's medication compliance, lack of recent criminal history prior to the index offences, and cooperative behaviour warranted the less restrictive option of indirectly supervised passes.

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

The accused, who suffers from schizophrenia, had been detained at a secure forensic unit following physical altercations with co-patients.

The Board found that the accused continues to pose a significant threat to public safety due to his mental illness and risk of decompensation if unsupervised.

The Board ordered the continuation of the detention disposition, with a modification to detain the accused at the Forensic Service of CAMH, allowing for potential transfer to a general unit as his condition stabilizes.

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

The accused had remained psychiatrically stable in the community for several years, adhered to medication, and maintained employment and pro-social activities.

The treatment team proposed ongoing monitoring by the Forensic Outpatient Service until non-forensic community supports could be established.

Applying the Winko standard, the Board found no positive evidence that the accused continued to pose a significant threat to public safety.

The Board ordered an absolute discharge.

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

The accused, who suffers from severe treatment-resistant schizophrenia, did not attend the hearing.

The Board accepted the joint submission of the parties, finding that the accused remains unfit to stand trial, is likely permanently unfit, and continues to pose a significant threat to public safety due to a history of medication non-adherence and violent behaviour.

The Board ordered the continuation of the current detention disposition at the Centre for Addiction and Mental Health, which allows the accused to live in supervised community housing while ensuring strict medication compliance.

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

The accused had a stable clinical year and was compliant with treatment, but remained overtly psychotic with paranoid and grandiose delusional beliefs.

The Board found that the accused remains a significant threat to public safety due to his brittle mental illness and risk of medication non-adherence.

The Board ordered the continuation of his detention disposition at the Centre for Addiction and Mental Health, with privileges to live in approved accommodation in the community.

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

The accused, who has schizophrenia, had been living in the community under a conditional discharge and recently consented to a Community Treatment Order to manage her medication and substance use.

The Board accepted the joint position of the parties and the hospital that the accused's mental state had stabilized and she had not engaged in violence since the index offence.

The Board concluded that the accused no longer poses a significant threat to public safety under s. 672.5401 of the Criminal Code and ordered an absolute discharge.

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

The accused, who has a long history of schizophrenia and substance abuse, had a generally positive year living in a high-support community residence but continued to struggle with alcohol and cannabis use.

The Board found that the accused continues to pose a significant threat to public safety due to his lack of insight, history of medication non-adherence, and risk of rapid psychotic deterioration without external supervision.

The Board ordered that the current detention disposition continue unchanged.

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

The accused had been living independently in the community on a conditional discharge.

While he had made significant progress, he experienced a recent period of decompensation requiring hospitalization and had a tendency to delay reporting declines in his mental status.

The Board accepted the joint position of the parties and the treating psychiatrist's evidence, concluding that the accused remains a significant threat to public safety.

The Board ordered the continuation of the conditional discharge on the existing terms.

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

The accused, diagnosed with chronic paranoid schizophrenia, has remained stable in the community but lacks insight into his illness and the need for medication.

The treating psychiatrist testified that the accused would stop taking medication if not subject to a Board order, which would likely lead to decompensation and a return of psychotic symptoms.

The Board found that the accused continues to pose a significant threat to public safety and ordered the continuation of his Conditional Discharge with no changes to its terms.

The accused was found not criminally responsible for aggravated assault.

The Ontario Review Board held a disposition hearing to determine if he represents a significant threat to public safety.

Based on a joint submission and psychiatric evidence, the Board found the accused remains a significant threat due to his history of substance abuse and uncertain psychiatric diagnosis.

The Board ordered a Conditional Discharge Disposition with conditions, including a transfer of care to the Waypoint Centre for Mental Health Care, to allow for medication titration and community monitoring.

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

The accused has schizophrenia and obsessive-compulsive disorder but has been stable and medication-compliant in his current housing placement.

The Board accepted the joint submission of the parties, finding that the accused remains a significant threat to public safety.

The Board ordered the continuation of the accused's conditional discharge with a minor variation to the terms.

The accused was found not criminally responsible for arson and the matter was remitted to the Ontario Review Board for an initial disposition hearing.

The Board found that the accused, who has schizophrenia and a history of substance abuse and medication noncompliance, continues to pose a significant threat to public safety.

Accepting a joint recommendation from the parties, the Board ordered a Detention Order at the Ontario Shores Centre for Mental Health Sciences with specified privileges, including potential community living, and prohibitions.

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

The accused was previously found not criminally responsible for possession of a firearm and mischief.

The Board found that the accused continues to represent a significant threat to the safety of the public due to treatment-resistant schizophrenia and cannabis use disorder.

The Board ordered a continuation of the detention order with added privileges, including the ability to reside in the community in approved accommodations and exercise passes for up to seven days.

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

The Board found that the accused continues to represent a significant threat to public safety due to his diagnoses of Schizophrenia, Polysubstance Use Disorder, and Antisocial Personality Disorder.

Adopting a joint recommendation, the Board ordered the continuation of his detention at the hospital but varied the disposition to permit the monitored consumption of cannabis purchased from a legal dispensary.

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 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.