Not criminally responsible

An appeal under Part XX.1 of the Criminal Code from a disposition of the Ontario Review Board dated March 6, 2019.

The appellant, declared not criminally responsible on account of mental disorder for dangerous operation of a motor vehicle, appealed a conditional discharge disposition that prohibited him from driving and required abstinence from alcohol.

The appellant argued the Board's conclusion that he posed a significant threat to public safety was unreasonable and unsupported by evidence, particularly given his suspended driver's licence.

The Court of Appeal dismissed the appeal, finding the Board's disposition reasonable and supported by evidence, but expressed concern about the lack of information available regarding the licence suspension and directed that detailed information be obtained for the next review.

An appeal from an Ontario Review Board disposition ordering continued detention at Waypoint Centre for Mental Health Care.

The appellant, found not criminally responsible for criminal harassment in 2003, challenged the Board's decision to maintain his detention, arguing the Board failed to consider statutory factors regarding reintegration into society and other needs, and failed to exercise the constant vigilance required for long-term detainees with non-violent index offences.

The Court of Appeal dismissed the appeal, finding the Board had adequately considered all relevant factors and that the evidence reasonably supported the conclusion that the appellant remained a significant threat to public safety.

An appeal from an Ontario Review Board disposition ordering detention in a secure forensic unit became moot upon the appellant's death while in custody.

The Court of Appeal considered whether special circumstances warranted proceeding with the appeal despite the general rule that appeals abate upon the death of the appellant.

Finding no systemic issues, legal questions of general public importance, or collateral consequences that would justify exercising discretion to hear the appeal, the court dismissed the appeal as abated.

An appellant who was found not criminally responsible appealed the Ontario Review Board's disposition continuing his detention in a forensic hospital.

The appellant sought a conditional discharge but the primary issue was whether the Board should exercise its inquisitorial powers to investigate alternative community residential arrangements.

The Court of Appeal found that while a conditional discharge was not available due to the appellant's significant risk to public safety, the Board had erred in failing to properly exercise its inquisitorial duties to break the residential impasse.

The Court allowed the appeal and ordered a new hearing.

An appellant who was found not criminally responsible on a charge of assault in 2007 appealed a Superior Court decision dismissing her application for a declaration that section 672.56 of the Criminal Code violated her Charter rights under section 7.

The appellant argued that the section did not afford a not criminally responsible accused the ability to compel the Ontario Review Board to hold a hearing to review a decision by a hospital to significantly increase restrictions on liberty.

The Court of Appeal dismissed the appeal, finding that Part XX.1 of the Criminal Code provides adequate procedural safeguards and liberty protections for such accused persons.

An appeal from the Ontario Review Board's disposition continuing a conditional discharge for an individual found not criminally responsible on account of mental disorder.

The appellant argued that the Board's conclusion that he remained a significant threat to public safety was unreasonable, particularly given his 17-year history without violent behaviour while subject to Board jurisdiction.

The Court of Appeal upheld the Board's decision, finding it fell within the range of reasonable outcomes based on evidence including the appellant's serious index offences, lack of insight into his mental illness, resistance to treatment, high risk assessment scores, and the unanimous opinion of his treatment team that he remained a significant risk.

The accused was charged with sexual assault following an incident at a party on February 11-12, 2011.

The defence raised the issue of sexsomnia (sexual activity during sleep), claiming the accused was not criminally responsible due to mental disorder.

The trial judge rejected the defence's evidence, finding the accused was awake and aware during the assault.

The judge found the expert evidence of Dr. Shapiro to be biased and unreliable, and rejected the accused's testimony as not credible.

The accused was found guilty of sexual assault.

An appeal of a Criminal Code section 672.54(c) detention order made by the Ontario Review Board.

The appellant argued that the Board erred in concluding that he poses a significant risk to the public and that the Board committed a Carrick error by failing to make this determination independently of his admission.

The Court of Appeal dismissed the appeal, holding that while a Board must make its own determination of dangerousness, it is entitled to rely on counsel's credible acknowledgement that the significant threat standard has been met, provided the Board does not abdicate its responsibility to assess the evidence.

An appellant appealed a disposition of the Ontario Review Board that continued his detention at the Centre for Addiction and Mental Health under a hybrid order requiring detention in the Secure Forensic Unit with discretion to transfer to the General Forensic Unit.

The appellant had been found not criminally responsible on account of mental disorder for attacks on strangers in 2007.

The Board found the appellant continued to pose a significant threat to public safety but was considering a treatment plan involving transfer to a more supportive general unit with behavioural programs.

The Court of Appeal found the Board's disposition unreasonable given the identified treatment impasse, the appellant's advancing age and declining health, and the lack of meaningful progress.

The appeal was allowed and the matter was remitted for an independent assessment and rehearing.

An appeal under Part XX.1 of the Criminal Code against the disposition of the Ontario Review Board dated October 2, 2017.

The appellant, declared not criminally responsible on account of mental disorder, challenged three aspects of the Board's decision: (1) the finding that the appellant posed a significant threat to public safety; (2) the Board's failure to consider a conditional discharge; and (3) the wording of condition 4(f) of the disposition.

The Court of Appeal upheld the Board's findings on the first two issues but amended condition 4(f) to clarify the Board's intention regarding restrictions on the appellant's attendance at locations where children under 14 are present.

The appellant appealed a disposition of the Ontario Review Board that found him to remain a significant threat to public safety and ordered a conditional discharge with monthly reporting requirements.

The appellant sought an absolute discharge.

The Court of Appeal upheld the Board's decision, finding that the Board's conclusion was reasonable based on evidence that the appellant intended to discontinue medication if absolutely discharged, had persistent persecutory delusions, and had a history of cannabis use that exacerbated his mental condition.

The court found it reasonable for the Board to conclude that absolute discharge would likely result in medication cessation, decompensation, and increased risk of threatening behaviour.

An appeal from an Ontario Review Board disposition concerning an individual found not criminally responsible on account of mental disorder.

The appellant sought an absolute discharge after nearly ten years of detention at a psychiatric hospital, while the hospital sought increased security.

The Court of Appeal upheld the Board's finding that the appellant posed a significant risk to public safety based on her history of assaultive behavior, substance abuse, and recent violent incidents.

However, the court found the Board erred by failing to make mandatory its recommendation for independent professional review and a customized treatment plan aimed at eventual community reintegration, given the appellant's prolonged detention without progress and the risk that continued hospitalization may be counter-therapeutic.

An appellant appealed the Ontario Review Board's disposition continuing his conditional discharge on terms.

The appellant had been found not criminally responsible on account of mental disorder in 2006 for assault causing bodily harm and mischief.

The Board found the appellant remained a significant threat to public safety based on his lack of insight into his mental illness, his unwillingness to take medication absent a Board order, his continued residual symptoms despite medication, his history of marijuana use leading to clinical worsening, and threatening statements made in 2015.

The Court of Appeal upheld the Board's decision, finding the conclusion that a foreseeable and substantial risk existed was reasonable on the evidence.

The appellant, found not criminally responsible on account of mental disorder for uttering threats to cause death or bodily harm, appealed the Ontario Review Board's disposition continuing his detention at a forensic mental health facility.

The appellant sought an absolute discharge, arguing there was no evidence he posed a significant threat to public safety, the Board's reasons were insufficient, and his lack of incident while off medication for over a year demonstrated reduced risk.

The Court of Appeal dismissed the appeal, finding the Board's reliance on psychiatric evidence of continued mental illness symptoms and escalating risk assessment was reasonable and supported by evidence.

An appeal under Part XX.1 of the Criminal Code against the disposition of the Ontario Review Board dated May 25, 2017.

The appellant challenged the Board's removal of the possibility of community living from her disposition conditions.

The Board had acted on a joint position to detain the appellant in the secure unit with potential transfer to the general forensic unit but not to the community.

The appellant's treating physician testified that community living was not a realistic goal given the appellant's recent incidents of unauthorized absence and violence towards hospital staff, and that the frustration of an unattainable condition had contributed to the appellant's anger and violent behavior.

The Court of Appeal upheld the Board's decision, finding it entirely reasonable to remove the community living condition based on the evidence.

An appeal from a disposition of the Ontario Review Board dated May 24, 2017.

The appellant, found not criminally responsible on account of mental disorder for robbery in 2010, challenged the Board's decision to impose a detention disposition rather than a conditional discharge.

The appellant argued that a conditional discharge with treatment conditions could manage his risk as effectively as detention.

The Court of Appeal upheld the Board's disposition, finding that the Board correctly applied the legal test and that its conclusion was reasonable given the appellant's recent deterioration, non-compliance with conditions, medication non-adherence, and the limitations of the Mental Health Act in managing his risk.

The appellant, a 54-year-old man with schizophrenia and a history of violence and harassment, appealed the Ontario Review Board's decision to order his continued detention at a forensic psychiatric facility rather than grant a conditional discharge.

The appellant had been found not criminally responsible in 2008 and lived in the community until December 2015, when he decompensated after stopping his antipsychotic medication.

The Board found he posed a significant threat to public safety due to his lack of insight into his mental illness, likelihood of discontinuing medication if discharged, and history of assaultive behavior.

The Court of Appeal upheld the detention order, finding it was the least onerous and least restrictive alternative available.

The appellant appealed a disposition order from the Ontario Review Board dated January 5, 2017, which ordered his detention at Waypoint Centre for Mental Health Care – Provincial Forensic Division.

The appellant did not challenge the Board's finding that he posed a significant threat to public safety but argued that his transfer from CAMH to Waypoint was not necessary and appropriate for managing that risk.

He contended that the Board failed to consider the context of his behaviour and that the announcement of his transfer triggered his deterioration.

He also argued the Board did not give sufficient weight to the disruption of his therapeutic and familial relationships.

The Court of Appeal dismissed the appeal, finding the Board's decision was reasonable and amply supported by evidence.

An appeal from a December 14, 2016 Ontario Review Board disposition ordering the detention of a not criminally responsible accused at the General Forensic Unit of the Centre for Addiction and Mental Health.

The appellant, diagnosed with bipolar disorder and substance-use disorder, had committed index offences in 2004 involving robbery and theft.

The Board found the appellant posed a significant threat to public safety due to continued substance abuse and manic symptoms.

The Court of Appeal admitted fresh evidence of post-decision disruptive conduct and upheld the detention order, finding the Board reasonably applied the "significant threat" standard and selected the least restrictive disposition appropriate in the circumstances.

The appellant appealed the Ontario Review Board's disposition maintaining a detention order for his care.

The appellant had been found not criminally responsible on account of mental disorder for assault, forcible confinement, and criminal harassment.

The Board accepted a joint submission from the appellant's counsel and physician to continue detention with increased community passes.

The appellant argued the Board erred in accepting the joint submission without properly discharging its inquisitorial duty.

The Court of Appeal dismissed the appeal, finding the Board was entitled to rely on the joint submission and had conducted its own inquiry concluding the appellant remained a significant threat to public safety.