Dr. Ismail

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

The hospital, Crown, and accused jointly supported a transfer to an all-male unit at the Centre for Addiction and Mental Health (CAMH).

The Board accepted the uncontroverted psychiatric evidence that the accused continues to pose a significant threat to public safety due to his autism spectrum disorder, impulsivity, and reliance on external structure.

The Board ordered a detention disposition with a transfer to CAMH, finding it necessary and appropriate to manage his risk while meeting his rehabilitative needs.

The Ontario Review Board held an annual review for the accused, who was previously found unfit to stand trial on various charges.

The hospital brought a preliminary motion to withhold certain disposition information from the accused, which the Board granted, finding that disclosure would likely endanger safety or impair recovery.

The Board concluded the accused remains unfit to stand trial due to treatment-resistant schizophrenia and ordered his continued detention at the high-secure forensic program at Waypoint, noting the ongoing need for seclusion but acknowledging recent improvements.

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

The Board found that the accused remains a significant threat to public safety due to his intellectual disability, autism spectrum disorder, and history of unpredictable aggression.

While the accused is ready for community living, appropriate housing is unavailable.

The Board ordered continued detention at the high-secure forensic program but directed a prehearing conference to address the Ministry's delay in funding a specialized residential placement.

The Ontario Review Board conducted an annual review and a restriction of liberties review for an accused found not criminally responsible for uttering threats and possession of a weapon for a dangerous purpose.

The accused, who suffers from schizoaffective disorder and substance use disorders, had been readmitted to the hospital after becoming disorganized and entering a stranger's car.

The Board found that the accused continues to pose a significant threat to public safety due to his fragile insight and risk of decompensation when non-adherent to medication.

The Board ordered the continuation of the current detention order and found the restriction of his liberties upon readmission to be necessary and appropriate.

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 and intellectual disability, had recently experienced physical health issues requiring reductions in antipsychotic medications, leading to increased aggression and impulsivity.

The Board accepted the joint recommendation of the parties, finding that the accused continues to pose a significant threat to public safety.

The Board ordered the continuation of the current detention order without change, concluding it was the least onerous and least restrictive disposition necessary to manage his risk and medical needs.

The Ontario Review Board held a mandatory hearing to review the disposition of the accused, who was previously found not criminally responsible for criminal harassment and other offences.

The hospital, the Attorney General, and the accused jointly submitted that the accused no longer posed a significant threat to public safety.

Relying on the hospital report and the testimony of the accused's treating physician, the Board found that the accused's mental health was stable, he was compliant with treatment, and he had robust protective factors.

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

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

The accused, diagnosed with Bipolar Disorder, had been managed in the community on a conditional discharge but continued to experience seasonal fluctuations in mental status requiring significant support.

Accepting the joint submission of the parties and the evidence of the treating psychiatrist, the Board found the accused remained a significant threat to public safety.

The Board ordered the continuation of the conditional discharge with a modified reporting requirement.

The applicant sought statutory accident benefits following a 2014 motor vehicle accident, including funding for physiatry, chronic pain, and neurological assessments, as well as assistive devices.

The respondent denied the treatment plans on the basis of a lack of contemporaneous medical evidence and the application of the Minor Injury Guideline.

The Tribunal found that the applicant failed to establish on a balance of probabilities that the disputed treatment plans were reasonable and necessary, noting the absence of contemporaneous medical records corroborating the applicant's self-reported chronic pain.

The Tribunal also found that the respondent complied with the notice requirements under s. 38(8) of the Schedule.

The application was dismissed in its entirety.

The Ontario Review Board held a mandatory annual hearing for an accused found not criminally responsible for firearms and threat offences.

The accused, diagnosed with bipolar disorder and cannabis use disorder, had been living in the community under a detention order.

The Board accepted the treating psychiatrist's evidence that the accused's pattern of decompensation is unknown and that he would likely not seek voluntary admission if his mental state deteriorated.

Finding that the accused continues to represent a significant threat to public safety, the Board maintained the detention order to ensure the treatment team's ability to admit him expeditiously if needed, while granting new privileges for out-of-province travel to visit family.

The Ontario Review Board held a hearing to review the disposition of the accused, who was previously found not criminally responsible for sexual assault due to schizophrenia.

The hospital, the Attorney General, and the accused all submitted that he no longer posed a significant threat to public safety.

The Board accepted evidence that the accused's symptoms were in sustained remission, he had strong insight into his illness, and he was compliant with treatment.

Finding that the onerous threshold for significant threat was not met, the Board ordered an absolute discharge.

The Ontario Review Board held a mandatory review hearing for an accused found not criminally responsible for multiple violent offences, including attempt murder and aggravated sexual assault.

The accused sought an absolute discharge, while the hospital recommended continuing his conditional discharge and the Crown sought a detention order due to his recent cannabis use.

The Board found that the accused remains a significant threat to public safety, noting the horrific nature of the index offences, the sudden onset of his psychosis, and his recent undisclosed use of cannabis gummies.

The Board ordered the continuation of the conditional discharge with added conditions requiring absolute abstention from cannabis and prohibiting travel outside Ontario.

The Ontario Review Board held an annual review hearing for an accused found not criminally responsible for aggravated assault and break and enter.

The accused, diagnosed with schizophrenia and substance use disorders, had been living in the community under a conditional discharge.

Based on a joint submission and uncontroverted psychiatric evidence, the Board found that the accused continues to pose a significant threat to public safety, as his stability relies heavily on the structure of the forensic system.

The Board ordered the continuation of the conditional discharge with slightly relaxed reporting conditions to support his gradual reintegration.

The Ontario Review Board held an early review hearing to consider amending the accused's disposition to allow a travel pass to Montreal on compassionate and humanitarian grounds.

The accused, who was found not criminally responsible for assault offences and diagnosed with schizophrenia, requested the pass to visit his gravely ill aunt and father.

Based on a joint recommendation and the supportive evidence of the attending psychiatrist, the Board granted the request and amended the disposition to include the travel pass.

The accused, previously found not criminally responsible for multiple assault charges, appeared for an annual review hearing before the Ontario Review Board.

The hospital and Crown recommended maintaining the current disposition, which the accused's counsel supported.

The Board heard evidence from the treating psychiatrist that while the accused's schizophrenia is stable, he continues to exhibit unprovoked and unpredictable assaultive behaviour towards staff due to antisocial personality disorder.

The Board concluded the accused remains a significant threat to public safety and ordered the current disposition be maintained as the least restrictive and least onerous option.

The Ontario Review Board held a hearing to review the disposition of the accused, who was previously found not criminally responsible for violent offences including first-degree murder.

The hospital recommended transferring the accused from a high secure to a medium secure facility.

The Board accepted the uncontroverted medical evidence that the accused remains a significant threat to public safety but has stabilized on medication.

The Board ordered the transfer to the medium secure facility with strict conditions, including a requirement to notify the victims if the accused goes AWOL.

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

The accused, diagnosed with Schizoaffective Disorder and Alcohol Use Disorder, had demonstrated significant improvement, consistent treatment engagement, and abstinence from substances.

Relying on the uncontroverted evidence of the hospital's psychiatrist, the Board found that the accused no longer posed a significant threat to public safety.

The accused was granted an absolute discharge.

The Ontario Review Board held a mandatory hearing to review the disposition of the accused, who was previously found unfit to stand trial on various assault charges.

The accused suffers from schizophrenia and remains in seclusion due to aggressive behaviour.

Based on hospital reports and psychiatric testimony, the Board found that the accused remains unfit to stand trial and continues to pose a significant threat to public safety.

The Board ordered the continuation of his detention at the high secure forensic program at Waypoint Centre for Mental Health Care, denying a family request to transfer him to a less secure facility.

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 conducted an annual review hearing for an accused previously found unfit to stand trial on multiple charges, including assaulting a peace officer.

The hospital and Crown submitted that the accused remained unfit and should continue to be detained at a maximum secure facility, citing recent unprovoked assaults on staff and co-patients driven by command hallucinations.

The Board accepted the evidence, finding the accused lacked a consistent grasp of the legal process and the ability to communicate effectively with counsel.

The accused was ordered to remain detained at the hospital with slightly amended privileges.

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

The Board found that the accused continues to pose a significant threat to public safety due to ongoing symptoms of schizophrenia, a brain injury, and sexually inappropriate behaviour.

However, as the accused had not displayed physical aggression or required seclusion in the past year, the Board ordered his transfer from the high secure unit at Waypoint to the less secure all-male Secure Forensic Unit at CAMH.