Dr. Ajay Prakash

The accused was found not criminally responsible for second-degree murder after killing his mother while experiencing psychotic delusions.

The Ontario Review Board held an initial disposition hearing.

The Board found that the accused continues to pose a significant threat to public safety due to his schizoaffective disorder, history of non-compliance with treatment, and alcohol use.

The Board ordered a Detention Order at the Southwest Centre for Forensic Mental Health Care with gradual privileges and added a non-association condition regarding certain family members.

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

The accused suffers from bipolar disorder and a cannabis use disorder.

The Board found that the accused represents a significant threat to public safety due to the risk of decompensation and violence if he stops taking his medication or resumes substance use.

The Board ordered a Conditional Discharge.

While the parties jointly recommended omitting a substance use abstention clause, the Board rejected this submission, finding that a strict prohibition on intoxicants was necessary to manage the accused's risk and support his reintegration.

The accused, previously found not criminally responsible for various offences including robbery with a weapon, was subject to an annual review and a Restriction of Liberty (ROL) hearing.

After a period of residing in the community, the accused's mental status decompensated following a reduction in antipsychotic medication and a return to substance use, leading to her readmission to the hospital.

The Ontario Review Board found that the readmission was warranted and the least restrictive option available.

The Board concluded that the accused continues to represent a significant threat to public safety and ordered the continuation of her Detention Order, with the addition of a clause requiring her to abstain from alcohol and other substances.

The Ontario Review Board held a hearing to review the conditional discharge of an accused found not criminally responsible for dangerous operation of a vehicle, break and enter, and assault.

The accused, diagnosed with bipolar disorder, had demonstrated significant improvements in medication compliance, insight, and psychiatric stability over the reporting period.

Applying the test from Winko, the Board concluded that the evidence no longer established that the accused posed a significant threat to public safety.

Consequently, the Board ordered an absolute discharge.

The accused, a 71-year-old woman with a severe traumatic brain injury, was charged with assault with a weapon against her husband.

She was previously found unfit to stand trial.

The Ontario Review Board held an initial hearing to determine her fitness and appropriate disposition.

Relying on psychiatric evidence, the Board found the accused remains unfit to stand trial due to cognitive impairments that prevent her from understanding the proceedings or instructing counsel.

The Board ordered a conditional discharge, requiring her to reside at her current supervised seniors residence, have no contact with her husband without consent, and attend the hospital for assessment if directed, balancing public safety with her reintegration and needs.

The Ontario Review Board conducted an annual review of the accused, who was previously found not criminally responsible for first-degree murder due to schizophrenia.

The Board found that the accused continues to pose a significant threat to public safety, necessitating a detention disposition.

However, noting the accused's significant progress, medication compliance, and stability in the community, the Board liberalized his privileges.

This included removing a prohibition on entering the city where the index offence occurred, allowing for a measured assessment of his stability in that environment while still under the Board's jurisdiction.

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

The accused, who suffers from treatment-refractory schizophrenia, had been living in a supervised community residence and sought a Conditional Discharge.

The Hospital and the Attorney General sought a continued Detention Order, arguing it was necessary to manage his risk and ensure a quick return to the hospital if he decompensated.

The Board found that the accused continues to represent a significant threat to public safety but concluded that his risk could be safely managed under a Conditional Discharge.

The Board imposed conditions including a specified residence, medication adherence, and Young clauses requiring him to return to the hospital for assessment or admission if directed.

The accused was found not criminally responsible for second-degree murder in 2021 after killing her infant son during a major psychotic incident.

She appeared before the Ontario Review Board for a mandatory review of her conditional discharge.

The evidence demonstrated that her schizoaffective disorder was optimally treated, she had maintained stability in the community for several years, and she had robust professional and personal supports, including a voluntary Community Treatment Order.

The Board concluded that the accused no longer posed a significant threat to the safety of the public and ordered an absolute discharge.

The Ontario Review Board held an early hearing regarding the accused, who was previously found unfit to stand trial on charges of sexual offences.

The hospital requested the hearing due to the accused's declining physical health from metastatic lung cancer, which caused a major neurocognitive disorder.

The Board found the accused permanently unfit to stand trial and concluded he does not pose a significant threat to public safety.

The Board recommended the Court hold an inquiry to determine whether a stay of proceedings should be ordered.

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

The accused, who suffers from schizophrenia and substance use disorder, relapsed into using crack cocaine and crystal methamphetamine while living in a transitional residence, prompting his readmission to the hospital.

The Board found the restriction of liberty was necessary and appropriate for public safety.

The Board also amended the accused's disposition to include an abstinence clause, finding that he required extrinsic support to maintain abstinence.

The accused, previously found not criminally responsible for violent offences against her son, underwent an annual Review Board hearing.

The hospital and Crown recommended continuing her Detention Order with increased privileges, while the accused sought a Conditional Discharge to move to Windsor.

Relying on expert psychiatric evidence, the Board found the accused remains a significant threat to public safety due to her schizophrenia, cognitive impairments, and vulnerability to stress.

The Board concluded a Detention Order was the least onerous and least restrictive disposition necessary to manage her risk and enforce a no-contact provision with her victim.

The Ontario Review Board held an annual review hearing for the accused, who was previously found unfit to stand trial on a charge of aggravated assault.

The accused, who suffers from Korsakoff's Dementia, had repeatedly breached her conditional discharge by consuming alcohol, leading to multiple hospital readmissions.

The Board found that the accused remains unfit to stand trial and is likely permanently unfit.

Concluding that the conditional discharge was no longer sufficient to manage her risk, the Board ordered that she be detained at the hospital with privileges.

The Ontario Review Board conducted an annual review of the disposition for an accused who was previously found not criminally responsible for criminal harassment and uttering threats.

The Board concluded that the accused continues to pose a significant threat to the safety of the public due to his bipolar disorder and substance use history.

While he has made significant progress in a structured hospital environment, his stability in the community has not yet been assessed.

The Board ordered a detention disposition at the Southwest Centre for Forensic Mental Health Care, with increased privileges including community passes and a community living clause, subject to strict conditions including abstention from intoxicants and no contact with the victim.

The accused was found not criminally responsible for pointing a firearm and appeared before the Ontario Review Board for an initial disposition.

The Board considered expert psychiatric evidence indicating that the accused lacks full insight into his bipolar disorder and remains vulnerable to relapse if he stops medication or resumes cannabis use.

Finding that the accused poses a significant threat to public safety, the Board ordered a conditional discharge with terms including residence requirements and psychiatric monitoring.

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

The accused, diagnosed with schizophrenia in remission and cannabis use disorder, had been living in the community without incident.

Relying on uncontroverted psychiatric evidence, the Board found the accused remains a significant threat to public safety due to his mental condition and ongoing daily cannabis use.

The Board ordered a Conditional Discharge with terms including a weapons prohibition and random urine screens, but notably excluded an absolute abstinence clause to allow monitoring of his cannabis use in the community.

The accused was found not criminally responsible for offences including uttering threats and assault with intent to resist arrest.

At his initial disposition hearing before the Ontario Review Board, the uncontradicted psychiatric evidence established that his schizophrenia was well-managed in the community through long-acting injectable medication and a Community Treatment Order.

The Board found that the accused did not pose a significant threat to the safety of the public and granted an absolute discharge.

The accused was charged with historical sexual offences but was found unfit to stand trial by the Superior Court of Justice due to severe cognitive decline resulting from metastatic lung cancer.

The Ontario Review Board held a disposition hearing and unanimously accepted the psychiatric evidence that the accused's condition is permanent and he cannot meaningfully participate in a trial.

Applying the Supreme Court's test in Bharwani, the Board confirmed the accused is unfit to stand trial.

Given his medical condition and lack of significant threat to public safety, the Board ordered a conditional discharge with minimal conditions, including virtual reporting and a no-contact order with the victims.

The accused, previously found not criminally responsible for aggravated assault, was living in the community under a disposition order.

After being evicted from his group home and temporarily housed in a motel, his mental health decompensated, exacerbated by cannabis use.

The hospital readmitted him, significantly restricting his liberties.

The Ontario Review Board held a hearing under s. 672.81(2.1) of the Criminal Code and found that the initial and ongoing restriction of the accused's liberty was necessary, appropriate, and the least restrictive option available to manage his risk.

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

Despite recent incidents of substance use and a suicide attempt, the accused's mental condition had stabilized with long-acting injectable antipsychotics and intensive community support.

The Board accepted expert psychiatric evidence that the accused's risk of violence to the public was low, and that his recent struggles primarily posed a risk of self-harm.

Concluding that the accused no longer posed a significant threat to the safety of the public, the Board granted an absolute discharge.

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

The accused, who was found not criminally responsible for uttering threats, suffers from schizoaffective disorder and substance use disorder.

The Board accepted the joint submission of the parties that the accused continues to pose a significant threat to the safety of the public due to ongoing delusions, recent substance use relapses, and fluctuating insight.

The Board ordered the continuation of the detention disposition with minor modifications, finding that the hospital requires the authority to return him for assessment if his mental state deteriorates.