This is an appeal from a Superior Court decision affirming a Consent and Capacity Board (CCB) finding that the appellant, S.H., was incapable of consenting to anti-psychotic treatment.
S.H. had been found not criminally responsible on account of mental disorder (NCRMD) and detained under the Ontario Review Board.
The core issue was S.H.'s capacity to appreciate the reasonably foreseeable consequences of taking or refusing treatment, particularly given his delusional disorder and religiously-toned beliefs.
The Court of Appeal upheld the lower courts' findings, concluding that S.H.'s inability to recognize his mental condition and its manifestations prevented him from appreciating the consequences of treatment decisions.
The Court also addressed the interplay of Charter values, specifically freedom of religion, in capacity determinations, affirming that while such values are important, they do not alter a finding of incapacity when beliefs are a manifestation of a mental condition that precludes appreciation of treatment consequences.
The appeal and a fresh evidence motion were dismissed.