R. Sheppard

The accused, who was found not criminally responsible for robbery, was living in a transitional community house.

Due to escalating interpersonal conflicts and verbal aggression towards staff and vulnerable co-residents, the hospital readmitted him to the secure forensic unit after his alternative independent housing fell through.

A mandatory restriction of liberty hearing was held.

The Ontario Review Board found that the hospital's decision to readmit the accused was necessary and appropriate.

The restriction was the least intrusive option available to manage the risk of serious psychological harm to others and maintain public safety until alternative community housing could be secured.

The Ontario Review Board conducted a hearing to review the restriction of liberty imposed on the accused, who had been found not criminally responsible for various offences.

The accused was readmitted to the hospital after showing signs of decompensation and refusing his medication at his group home.

The Board found that the initial and ongoing restriction of liberty was necessary, appropriate, and the least onerous and least restrictive measure, given the accused's history of rapid decompensation and risk to public safety when non-compliant with medication.

The Ontario Review Board conducted a hearing to review the restriction of liberty imposed on the accused, who had previously been found not criminally responsible.

The accused had been discharged to a group home but was returned to the hospital after exhibiting inappropriate sexual behaviour towards a lone female staff member and refusing to discuss the incident with his psychiatrist.

The Board found that the restriction of liberty was necessary, appropriate, and the least onerous and least restrictive measure to manage the accused's risk, both initially and throughout its duration.

The Ontario Review Board conducted an annual review of the disposition for an accused found not criminally responsible for robbery.

The accused, who suffers from treatment-resistant schizophrenia and substance use disorders, sought a transfer to another hospital and a continuation of his current privileges.

The hospital and the Attorney General opposed the transfer and sought the removal of certain community access privileges.

Relying on uncontroverted expert evidence, the Board found that the accused continues to pose a significant threat to public safety due to his lack of insight, impulsivity, and drug-seeking behaviour.

The Board ordered the continuation of the existing detention order with its current terms, finding them to be the least onerous and restrictive, and denied the transfer request as it offered no therapeutic benefit.

The accused was found not criminally responsible for sexual assault and referred to the Ontario Review Board for an initial disposition hearing.

The Board found that the accused, who is diagnosed with schizophrenia and sedative use disorder, continues to experience perceptual disturbances and lacks community support.

The Board concluded that the accused poses a significant threat to the safety of the public and ordered a detention order at the hospital with specific privileges and prohibitions, including abstention from intoxicants and a weapons prohibition.

The Ontario Review Board convened a hearing to review the hospital's decision to significantly restrict the liberty of an NCR patient by placing him in seclusion with physical restraints.

The patient, diagnosed with schizoaffective disorder, had violently assaulted staff when they attempted to administer prescribed injectable medication.

The Board found that the restriction of liberty was a serious deprivation but was necessary, appropriate, and the least onerous measure available given the extreme risk of violence to staff and the patient's ongoing psychosis.

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

The Board found that the accused continues to pose a significant threat to public safety due to his schizophrenia and the risk of decompensation if he becomes non-compliant with medication.

Accepting the joint position of the parties, the Board ordered a Conditional Discharge, noting his progress and commitment to abstinence while emphasizing the need for continued treatment.

The Ontario Review Board conducted an annual review of the accused, who was previously found not criminally responsible for four counts of attempted murder and assault.

The accused's diagnoses include schizophrenia and cannabis use disorder.

The Board accepted the hospital's evidence that the accused continues to pose a significant threat to public safety due to ongoing psychotic symptoms and the risk of substance use relapse.

The Board ordered the continuation of the existing Detention Disposition with community living privileges.

The Ontario Review Board conducted a mandatory review of the conditional discharge of an accused found not criminally responsible for aggravated assault.

The accused sought an absolute discharge, arguing he had been stable in the community for years without violence.

The hospital and Crown sought a continuation of the conditional discharge, presenting psychiatric evidence that the accused's stability relied entirely on externally mandated medication, without which his severe persecutory delusions would return and escalate his risk of violence.

The Board found the accused remained a significant threat to public safety and ordered the continuation of the conditional discharge as the least onerous and least restrictive disposition.

The Ontario Review Board conducted an annual review of the accused, who was found not criminally responsible for assault and assault with intent to resist arrest.

The accused has treatment-resistant schizophrenia and a major neurocognitive disorder.

The Board found that the accused continues to pose a significant threat to the safety of the public due to the brittle nature of his illness and limited insight.

The Board ordered the continuation of his detention disposition at the Centre for Addiction and Mental Health, but removed the abstinence and urine drug screening conditions and reduced the minimum reporting frequency, given his stability and lack of substance use history.

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

The accused was previously found not criminally responsible for offences including uttering death threats, assault, and possession of a prohibited weapon.

The Board found that the accused continues to represent a significant threat to the safety of the public due to his schizoaffective disorder, substance use disorder, lack of insight, and non-compliance with oral medications.

The Board ordered a continuation of the Detention Disposition at the Centre for Addiction and Mental Health, concluding that an Absolute or Conditional Discharge would not adequately manage the risk of psychiatric decompensation and potential violence.

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

The accused, diagnosed with schizophrenia and an intellectual disability, had been stable and compliant with medication while residing in supported housing.

The parties jointly submitted that the accused remained a significant threat to public safety and should remain subject to a conditional discharge on existing terms, pending an approved inter-provincial transfer to Alberta.

The Board accepted the joint submission, finding that the accused required continued high-level support and structure to maintain clinical stability and mitigate risk.

The Ontario Review Board conducted an annual review of the accused's disposition following a finding of not criminally responsible for attempted murder and other offences.

The hospital, the Attorney General, and the accused all agreed that the accused remained a significant threat to public safety and that a continuation of the Detention Order was necessary and appropriate.

The Board accepted the joint position, noting the accused's progress and compliance with treatment, and ordered the continuation of the Detention Order on a General Forensic Unit with provisions for travel passes.

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

The accused, diagnosed with schizophrenia and substance use disorders, had been residing in the community under a detention order.

The Board accepted the joint position of the parties and the hospital's psychiatric evidence that the accused continues to pose a significant threat to public safety due to his guardedness, lack of insight into his medication, and recent incidents of verbal aggression.

The Board maintained the existing detention order with privileges to reside in approved accommodation.

The Ontario Review Board conducted an annual review for an accused found unfit to stand trial on weapons charges.

The accused's treating physician testified that despite treatment with clozapine, the accused remains unable to discuss the consequences of a trial.

The Board found the accused remains unfit to stand trial and ordered the continuation of a Detention Order at the Centre for Addiction and Mental Health with privileges to live in the community in approved accommodation.

The Ontario Review Board held an annual hearing for an accused found not criminally responsible for assault, robbery, and sexual interference.

The accused, diagnosed with schizophrenia, had an unauthorized leave of absence during the reporting year and exhibited periods of mutism, though he generally complied with hospital rules and medication.

Based on uncontested psychiatric evidence and a joint submission, the Board found the accused remains a significant threat to public safety due to limited insight and risk of decompensation.

The Board ordered the continuation of his Detention Order.

The Ontario Review Board held an early annual review hearing for an accused previously found not criminally responsible for criminal harassment and breach of recognizance.

The accused, who suffers from schizoaffective disorder, had been living in the community on a conditional discharge but experienced a severe decompensation following the death of his mentor.

This led to involuntary hospitalization, psychotic symptoms, and assaultive behaviour towards peers and staff.

The Board found that the accused continues to pose a significant threat to public safety.

The conditional discharge was rescinded and replaced with a detention order, with conditions allowing for future community living once his mental state stabilizes.

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

The accused, diagnosed with schizoaffective disorder, experienced a recent exacerbation of psychotic symptoms and remains treatment resistant.

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

On joint submission, the Board ordered the continuation of her detention at the Centre for Addiction and Mental Health, with a modification to her privileges allowing the person in charge to permit travel both inside and outside of Canada.

The Ontario Review Board held an annual review hearing for the accused, who was previously found not criminally responsible for assault causing bodily harm and related offences.

The accused has been residing in the community under a conditional discharge and has made positive progress, including medication compliance and abstaining from substance use.

However, due to her history of treatment-resistant psychosis, substance use, and vulnerability to stressors, the Board found she continues to represent a significant threat to public safety.

The Board ordered the continuation of the conditional discharge with an updated residential address to support her transition to more independent living.

The Ontario Review Board conducted an annual review of the disposition for an accused found not criminally responsible for two counts of attempted murder.

The accused, diagnosed with major depressive disorder with psychotic features, has been compliant with treatment but faces barriers to community transition due to his unresolved immigration status.

The Board found that he continues to represent a significant threat to public safety and ordered the continuation of his detention at the Centre for Addiction and Mental Health, with privileges including community living.