The accused, previously found not criminally responsible for multiple assaults, was subject to an annual review by the Ontario Review Board.
The accused requested international travel privileges to make a pilgrimage to Mecca.
The hospital and the Attorney General opposed the request, citing the accused's recent behavioural dysregulation, inability to successfully complete overnight passes, and reliance on family members who struggled to enforce hospital rules and medication compliance.
The Board found that the accused continues to present a significant threat to public safety and concluded that international travel was premature.
The detention order was renewed on the existing terms.