Health Law - OCA

The appellant, who was found not criminally responsible in 2007, appealed a disposition of the Ontario Review Board continuing his detention with privileges.

He argued the Board erred in finding he remained a significant threat and that there was an impasse in finding community housing due to his substance use.

The Court of Appeal found the Board's factual misapprehension regarding recent charges was immaterial and upheld the finding that he remained a significant threat.

The Court dismissed the appeal but amended the disposition to include the Board's direction from its reasons that the hospital look at housing that does not require abstinence.

The appellant, who was found not criminally responsible for arson in 2007, appealed a disposition of the Ontario Review Board ordering his continued detention at a mental health facility.

He argued the Board erred by failing to consider all relevant factors under s. 672.54 of the Criminal Code and that a conditional discharge was the least onerous disposition necessary.

The Court of Appeal dismissed the appeal, finding the Board reasonably concluded that the appellant's risk of violent confrontations and inability to manage the stresses of community living required the supervision of a detention order.

The appellant appealed a disposition of the Ontario Review Board continuing his detention order, arguing the Board erred by not considering a conditional discharge with a Community Treatment Order under the Mental Health Act.

The Court of Appeal dismissed the appeal, noting the issue was not raised before the Board, the Board lacks jurisdiction to make a Community Treatment Order, and the appellant had a history of irregular medication compliance.

The appellant, who was found not criminally responsible, appealed a disposition of the Ontario Review Board continuing his detention and a decision that a temporary hold on his indirectly supervised community passes did not constitute a significant restriction of liberty requiring a mandatory hearing.

The Court of Appeal dismissed the appeal, finding that the Board reasonably concluded the appellant's continued detention was the least onerous and least restrictive disposition given his recent decompensation.

The Court also upheld the Board's application of the Campbell framework, agreeing that the temporary restriction on privileges was a day-to-day clinical management decision that did not meet the threshold of a significant increase in liberty restrictions.

The appellant, who was found not criminally responsible (NCR) on driving-related charges, appealed a disposition of the Ontario Review Board continuing his detention at a secure forensic psychiatric unit.

He argued the Board erred in finding he posed a significant threat to public safety and in failing to hold a hearing regarding a temporary increase in restrictions on his liberty following an elopement.

The Court of Appeal dismissed the appeal, finding the Board's conclusion on public safety risk was reasonable and supported by the evidence.

The Court declined to decide the restriction of liberty issue as it was moot, and refused to impose a general notice and hearing procedure on the Board.

The appellant, who was previously found not criminally responsible for assault causing bodily harm, appealed a decision of the Ontario Review Board maintaining his conditional discharge.

He argued that the Board's finding that he continued to pose a significant risk to the public was unreasonable and sought an absolute discharge.

The Court of Appeal dismissed the appeal, finding that the Board reasonably relied on expert psychiatric testimony indicating that the appellant's impending transition to a less structured living environment would increase his risk to public safety.

The appellant, who had been found not criminally responsible for violent offences, appealed a disposition of the Ontario Review Board requiring his continued detention at a mental health centre.

He argued the Board erred in rejecting an absolute or conditional discharge.

The Court of Appeal dismissed the appeal, finding the Board's decision reasonable given expert evidence that the appellant posed a high risk of violence, lacked insight, and was unwilling to follow conditions.

A detention order was found to be the least restrictive disposition.

The appellant, who was found not criminally responsible for killing his sister, appealed a disposition of the Ontario Review Board.

He argued the Board failed to order the least onerous and least restrictive disposition by not directing the hospital to grant him indirectly supervised passes without requiring his participation in structured programming.

The Court of Appeal dismissed the appeal, finding the Board reasonably concluded that the hospital needed the appellant to engage in structured programming to assess his risk to the community, and that no treatment impasse existed.

The appellant appealed a disposition of the Ontario Review Board, arguing that the Board's finding that he remained a significant threat to public safety was unreasonable, and that it erred in refusing to transfer him to a less secure hospital.

The Court of Appeal dismissed the appeal, finding that the Board's conclusions were reasonable and supported by the evidence of the treating psychiatrist and the appellant's history of violence.

The refusal to transfer was also reasonable given the hospital risk assessment indicating the appellant required better symptom control before moving to a less secure environment.

The appellant, who was found not criminally responsible for several assaults, appealed a disposition of the Ontario Review Board ordering his continued detention.

The appellant argued that a conditional discharge was appropriate and that his risk could be managed in the community.

The Court of Appeal dismissed the appeal, finding that the Board reasonably concluded a detention order was necessary due to the appellant's lack of insight into his mental illness, his substance use, and the need for proactive intervention to prevent decompensation.

The respondent was found not criminally responsible in 2008 and held under detention orders until the Ontario Review Board granted a conditional discharge in 2019.

The hospital appealed, supported by the Crown, arguing the Board's majority reasons failed to explain how public safety would be protected given the respondent's history of rapid decompensation and recent involuntary admissions.

The Court of Appeal allowed the appeal and ordered a new hearing, finding the Board's reasons inadequate to justify the disposition.

The appellant appealed a decision of the Ontario Review Board that he continue to be detained at the Waypoint Centre for Mental Health Care, arguing he should be transferred to a less secure facility closer to his family.

The Board found that a transfer was premature given the appellant's ongoing threatening and sexually inappropriate behaviour.

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

The appellant, who was found not criminally responsible for the forcible seizure of a child and other offences, appealed a disposition of the Ontario Review Board ordering his detention at a secure forensic unit.

The appellant sought an absolute or conditional discharge, or a transfer to a different facility to access a larger gay community.

The Court of Appeal dismissed the appeal, finding the Board's conclusion that the appellant posed a significant risk to the public was reasonable and supported by expert evidence indicating he remained untreated and unstable.

The court also upheld the Board's refusal to transfer the appellant, noting the request was premature and lacked therapeutic justification.

The appellant appealed a Superior Court decision upholding a Consent and Capacity Board finding that he was incapable of consenting to treatment with antipsychotic medications.

The amicus curiae argued the appeal judge improperly considered the appellant's subsequent involuntary patient status, the Board's decision was unreasonable, and the appellant was denied a fair hearing.

The Court of Appeal dismissed the appeal, finding the appeal judge only used the subsequent status as background, there was ample evidence of the appellant's inability to appreciate the consequences of his treatment decisions due to delusions, and any curtailment of cross-examination was on tangential matters.

The appellant appealed a disposition order of the Ontario Review Board.

The Court of Appeal dismissed the appeal, finding that the Board's reasons justified the disposition and were supported by medical evidence.

The Court noted that a conditional discharge could be possible in the future if the appellant accepts the proposed hospital treatment.

The appellant appealed a disposition of the Ontario Review Board detaining him at the Waypoint Centre for Mental Health Care.

The appellant argued the disposition was unreasonable, that his explanations for refusing medication were ignored, and that the Board lost jurisdiction by granting an adjournment.

The Court of Appeal dismissed the appeal, finding the disposition reasonable given the appellant's significant risk, and holding that any potential loss of jurisdiction was cured by section 672.53 of the Criminal Code.

The appellants appealed the dismissal of their medical malpractice action against the respondent doctor following the death of a patient who underwent an axillary-femoral bypass.

The trial judge found the respondent breached the standard of care by using a graft that was 'not recommended' by the manufacturer and failing to obtain informed consent, but concluded the appellants failed to prove causation.

The Court of Appeal dismissed the appeal, holding that the trial judge did not err in his robust and pragmatic analysis of the evidence and correctly concluded that the 'material contribution' approach to causation was inapplicable.

The appellant appealed a disposition of the Ontario Review Board ordering her detention at the Centre for Addiction and Mental Health with discretion to permit her to live in the community.

The Court of Appeal dismissed the appeal, finding no error by the Board.

The disposition was based on a joint submission and supported by uncontradicted psychiatric evidence that the appellant posed a significant risk to public safety.

The appellant appealed a disposition of the Ontario Review Board ordering his detention.

It was uncontested that the appellant posed a significant threat to public safety, precluding an absolute discharge.

The Court of Appeal found the Board's conclusion that a detention order was the least onerous and least restrictive disposition was fully supported by the evidence and free of legal error.

Fresh evidence indicated the appellant was incapable of consenting to treatment, making a conditional discharge unavailable.

The appeal was dismissed.

The Canadian Civil Liberties Association and the Mental Health Legal Committee brought motions for leave to intervene as friends of the court in an upcoming appeal concerning the constitutionality of the involuntary detention provisions of the Mental Health Act.

The appellant supported the motions, while the respondent Crown and mental health facility opposed them, arguing the proposed interventions would be duplicative or raise new issues.

The Court of Appeal granted both motions, finding that the proposed interveners had special expertise, would make useful contributions without duplicating the appellant's arguments, and that the new legal arguments raised did not require fresh evidence or cause prejudice to the respondents.