Re: Bao Quach, 2025 CanLII 66914

Re: Bao Quach

ORB File No: 7997

Hearing held on: Wednesday, May 21, 2025

Place of hearing: Centre for Addiction and Mental Health

Pursuant to: Section 672.81(1) of the Criminal Code

Before:

Alternate Chairperson: Ms. S. Kert Members: The Hon. B. Allen Dr. P. Prendergast Dr. M. Mamak Mr. A. Bouvier

Parties Appearing:

Accused: Bao Quach Counsel: Mr. R. Sherman

The Person in charge of Hospital: Counsel: Ms. S. R. Zelaya

Attorney General of Ontario: Counsel: Ms. L. Earle

REASONS FOR DISPOSITION

(Dated July 8, 2025)

Introduction

1On December 17, 2021 Mr. Bao Quach was found not criminally responsible by reason of mental disorder on charges of possessing a weapon, assaulting a peace officer, uttering a threat to cause death (x2) and failing to comply with a release order (x2) contrary to the Criminal Code.

2Under s. 672.81(1) of the Criminal Code, a panel of the Ontario Review Board (the Board) was convened on May 21, 2025 at the Centre for Addiction and Mental Health (CAMH or the Hospital) to review Mr. Quach's threat to public safety and the appropriate disposition under s. 672.54 of the Criminal Code.

3Mr. Quach’s existing disposition dated June 19, 2024 orders Mr. Quach be detained at the Forensic Service of CAMH with privileges up to residing in approved community accommodation.

4The Hospital takes the position joined by the Crown that Mr. Quach should remain detained at the Forensic Services at CAMH with privileges up to residing in approved accommodation. The Hospital further recommends that that the exclusion addresses be amended and the reporting requirement be increased as set out below in the Board’s Reasons. The Crown adopts the Hospital’s position. Mr. Quach seeks a conditional discharge and accepts the recommended amendments.

Disposition

5For the reasons set out below, pursuant to s. 672.54 of the Criminal Code, the Board concludes that Mr. Quach continues to pose a significant threat to public safety and that the necessary and appropriate disposition, which is the least onerous and the least restrictive to mitigate threat to public safety, is that he continue to be detained at the Forensic Service of CAMH with privileges up to residing in the community in approved accommodation. The exclusion term of the existing disposition should be amended to permit Mr. Quach to visit and/or live at the family home, should it be approved by the person in charge, and the reporting condition increased to not less than once per week.

Current Diagnosis

6Mr. Quach’s current diagnosis is bipolar 1 disorder, in full remission.

The Evidence

7The Board has before it the Hospital Report dated April 17, 2025 which contains an account of Mr. Quach’s personal and psychiatric background which need not be repeated in detail here. The Board also has the oral evidence of Dr. Owen O’Sullivan, the author of the Hospital Report. Mr. Quach also testified briefly. His mother and brother attended the hearing for support but did not participate in the proceeding.

Index Offences

8The circumstances of the index offences committed from May 22 to May 28, 2021 are described in the Hospital Report and are summarized as follows, as excerpted from police records and an Agreed Statement of Facts:

On May 22, 2021, Mr. Quach attended St. Michael’s Hospital to complain that he had been mistreated by staff over a year ago. He demanded an apology and threatened to come back with “50 people” and kill all the security guards.

On May 23, 2021, Mr. Quach returned and threatened to hire people to kill and shoot security staff and showed a photo of a pile of money on his phone while referring to himself as a “Chinese Triad.”

On May 24, 2021, Mr. Quach approached a police vehicle and informed them that police were looking for him, and he was subsequently arrested. He was released on a release order with a condition not to attend St. Michael’s Hospital.

In the early morning of May 27, 2021, Mr. Quach returned to St. Michael's Hospital on four occasions and threatened staff. He appeared agitated and postured to fight. While waiting in triage, Mr. Quach was making grandiose statements, saying everyone at 51 police division knew him and he was shocked the arresting officers did not know who he was. He suggested that he attended the hospital to be admitted but felt better after a "good cry" and made threats to staff for "fun." He was apprehended under the Mental Health Act by police and brought to Toronto Western Hospital (TWH) for assessment around 5:18 am. He was discharged promptly from TWH.

On May 27, 2021 at 7:47 am, Mr. Quach entered the hospital’s triage area and left when recognized. He then attended 51 Division station around 11:00 pm and began punching and kicking the front glass doors, and subsequently was arrested.

Mr. Quach was released on May 28, 2021. Around 16:00 hours that day, Mr. Quach drove his vehicle and parked in the ambulance bay of St. Michael's Hospital. He walked toward the emergency department wielding a hatchet in his hand. He was wearing an overcoat but no shirt. Police were already on scene and were unable to verbally de-escalate him. He yelled, "I'm going to finish what I started" and "I'm Triad…You don't know me. Do you know who I am? Police beat me…Look what they did to my face." He told police they would need to shoot him, "Shoot me! I'm ready to die!" He eventually dropped his weapon when police approached him with a Taser. When detained in the police vehicle, he banged his head against the window and was "yelling random things." He told the officers that he had bipolar disorder and had not slept in 3 days.

[Hospital Report, at p. 11]

9By way of background to the index offences, Mr. Quach moved from Toronto to Edmonton in July 2020 where he resided in private residences and was employed at various jobs until he was laid off. In May 2021 approximately two weeks before the index offences he returned to Toronto where he resided with his uncle and worked as a dog trainer. Mr. Quach began having depressive episodes thinking about the deaths of two of his brothers. He recalled some aspects of his attendances at hospitals and the police station during the index offences but did not recall the details or reasons for his attendances.

Criminal History

10In 2017 Mr. Quach was convicted of possession of a firearm (x1) and sentenced to 18 months detention and one year probation. In September 2018 Mr. Quach threatened to shoot a jewellery store clerk and was charged with uttering a threat to cause death or bodily harm. He completed judicial mental health diversion as there was psychiatric evidence that the offending conduct occurred during a psychotic episode. In 2019 he was convicted of “uttering threats” and incarcerated. The charge was later withdrawn and he was placed on a peace bond upon release.

Substance Use

11There is evidence that he consumed alcohol as a youth and smoked cannabis. Mr. Quach claimed he operated a cannabis store pre-legalization and closed the store because he was arrested in 2017 and later incarcerated. The Hospital Report indicates there was a single urinalysis in 2021, ten in 2023, and two in 2024, all of which were negative for all substances.

Mr. Quach’s Personal and Psychiatric History

Before the Current Reporting Year

Personal History

12Mr. Quach is a 28-year-old male with no dependants who has been detained at CAMH since December 28, 2023. Mr. Quach reported that he is engaged to a 29-year-old woman whom he met on a Muslim online dating platform. Mr. Quach reported that he converted to Islam 2½ years ago without the assistance of a mosque or religious leader.

13Mr. Quach supported himself financially by working as a carpenter and dog trainer. He did not complete all the school credits required for grades 11 and 12. He attended some college psychology courses at George Brown College for a year but failed to complete the program.

14Mr. Quach was the youngest of seven children of his biological parents. Two of his brothers, his second and fifth siblings, passed away, one dying from substance abuse and the other from being shot in Aruba.

Psychiatric History

15Mr. Quach was first diagnosed with bipolar affective disorder by the Hospital for Sick Children in February 2010. He exhibited elevated mood, labile affect, rapid speech, thought disorganization, grandiose delusions, decreased need for sleep, elevated energy and agitation/aggressiveness. He required chemical restraint while in hospital due to the risk of harm to others and absconding. There was no evidence of substance abuse and he was treated with medication to treat his bipolar symptoms. Mr. Quach endorsed having been prescribed psychotropic medications throughout high school until he was 19 years old.

16Over the years since 2010 Mr. Quach was involuntarily admitted to several hospitals diagnosed with bipolar disorder and schizoaffective disorder. He was treated with mood-stabilizing lithium and antipsychotic medications.

17In 2019 Mr. Quach was admitted to St. Michael’s Hospital. He had potentially lethal suicide attempts in the past, one in 2019 from an overdose that required an admission to the intensive care unit. In May 2020 Mr. Quach was briefly admitted to St. Michael’s Hospital again for manic-like symptoms and in June 2020 he attended the emergency department in an enraged state after not having taken medications for two days.

18The evidence in these Reasons set out under the heading “Index Offences” describes Mr. Quach’s encounters with hospitals and the police from May 20 to May 28, 2021, after which he was detained. In June 2021 during his detention at the Toronto South Detention Centre (TSDC) Mr. Quach assaulted a corrections officer. He was treated with mood stabilizers and antipsychotic medications. His mental status improved until he refused his medication in July 2021 due to complaints of sedation and was placed in segregation for “knocking” a correctional officer.

19After being found not criminally responsible in December 2021 Mr. Quach was released from detention on house arrest the following day to live with his surety. He started looking into employment options but his house arrest was a barrier while awaiting his initial Board hearing. At that time Mr. Quach acknowledged suffering from bipolar disorder consisting of depression and mania and problems with anger management, the latter issue he attributed to being caused by his dysfunctional family life growing up.

20In May 2022 following his first Board hearing Mr. Quach was ordered detained on a general forensic unit at CAMH, with privileges up to community living in approved accommodation. During the period from May 2022 to May 2023 he was under a detention order by the Board with privileges up to living in approved accommodation. He first resided with his surety then with his mother. He was followed by Extended Out Patient Services (EFOPS) as an outpatient on schedules to report to a caseworker and Dr. Paul Benassi.

21The following account lists some factors that favour Mr. Quach’s circumstances in the reporting year of 2022 to 2023: there were no re-admissions or visits to the emergency department; he was compliant with prescribed medications; he did not report any mood abnormalities, delusional thoughts, perceptual disturbances, any bizarre behaviour or aggression; he demonstrated awareness and appreciation of his mental condition and signs of mania; all random urine drug screens were negative for alcohol and non-prescribed drugs; he was independent with self-care and instrumental in activities of daily living; and he was capable with respect to management of his finances.

22The further positive factors relate to community and program engagement for that reporting year: he remained in close contact with his family; he was involved in community organizations and served as a youth counsellor; he attended weekly prayer groups at the local mosque and delivered meals during Ramadan; he was able to enrol in the Ontario carpenter union in 2023 and obtained an employment contract; he received psycho-education from the EFOPS team in relation to his mental health and treatment.

23While most indicators were positive from 2022 to 2023, there remained some doubt whether Mr. Quach would be able to recognize in himself signs of mental decompensation if this were to occur as he was ambivalent about whether there would be a significant risk of relapse if he discontinued his medications. Mr. Quach was however agreeable to continuing his medications under the team's recommendation. But he declined an offer for formal and structured teaching around illness management and recovery.

24During the reporting year May 2023 to May 2024 Mr. Quach remained on a detention order with privileges, among others, to live in approved accommodation and to travel in Ontario. He initially maintained positive indicators from the previous reporting year having no further admissions or visits to the emergency department and agreeing with his diagnosis of bipolar affective disorder, type I. However in August 2024 Mr. Quach reported that on five occasions he was non-compliant with his medications by reducing the dosages. He denied substance use besides nicotine and caffeine. He was however receptive to psycho-education about the risk of using substances.

25On the further positive side Mr. Quach partnered with a fellow carpenter and opened a small business while he continued with his dog training business. In October 2023 Mr. Quach was approved to travel in Ontario and to Cochrane Ontario regarding a floor carpentry position in a “gold mine”. On the negative side of this experience Mr. Quach reported that he along with four others were dismissed from the position in November 2023 due to an altercation. Mr. Quach indicated he reacted to a co-worker making a disrespectful comment to him.

26During an assessment by the EFOPS team on December 28, 2023 he reported “not the greatest mood”, bemoaning the loss of many friends since age 10. He discussed a wish to decrease his medication but he was open to discussing any changes with Dr. Benassi first.

27On December 28, 2023 Mr. Quach voluntarily attended the emergency department at Toronto General Hospital reporting that he was unwell and appearing psychotic and grandiose. He reported that he was the leader of several criminal organizations and that he was the primary caregiver for more than 100 people.

28Mr. Quach disclosed that he had been non-adherent with his prescribed olanzapine since early December 2023 and did not disclose to the EFOPS team his concern about an emerging manic episode. He left Toronto General Hospital against medical advice and then later that day presented voluntarily to the CAMH emergency department and endorsed non-adherence with his oral olanzapine. He also endorsed exaggerated beliefs regarding his role and responsibilities in his "community," which included family, businesses and gang affiliations.

29On December 29, 2023 Mr. Quach was admitted to the CAMH Psychiatric Intensive Unit (PICU). Code Whites were called on December 29th and 30th. He was placed in locked seclusion for uttering threats to staff and refusing to comply with staff demands. On December 30th Mr. Quach was placed in physical restraints.

30A January 4, 2024 assessment estimated that Mr. Quach’s nicotine vape use translated to between 20 to 30 cigarettes although this thought to be an underestimation. Recommendations were made for Nicotine Replacement Therapy (NRT) in oral, lozenge and patch formulations.

31On January 8, 2024 Mr. Quach was transferred to a general forensic unit and switched to paliperidone antipsychotic injections, the first injection administered on January 9th.

32On January 14, 2024 a third Code White was called in the secure courtyard which required Toronto Police Service intervention. Mr. Quach said he wanted to "jump or break something" to abscond from CAMH. He was physically intrusive to a female nurse and made threats including to "call the code white. Mr. Quach had been administered high doses of antipsychotic treatment and additional PRNs (medications administered "as needed") and despite this, he suggested he would escalate behaviourally if his needs of having a shower and additional NRTs were not met.

33Mr. Quach continued to display erratic moods and to be challenging and demanding, irritable, threatening and aggressive. On January 26th, a fourth Code White was called. Mr. Quach was reported to have “punched the wall”, “stripped to the waist” and displayed “martial arts moves” and postures.

34Mr. Quach was taken to locked seclusion, where he took PRNs. After a sustained period of relative stability, he was successfully allowed out of locked seclusion on January 28th.

35Mr. Quach was referred to the Forensic Consultation and Assessment Team (FORCAT) and was assessed by Dr. Emily Cripps on February 1, 2024. A fifth Code White was called on February 2nd which resulted from repeated demands for more food which was declined and resulted in Mr. Quach becoming angry, swearing and threatening staff as well as kicking and banging at doors. Sixth and seventh Code Whites were called on February 15th and March 4th. He was making threatening gestures towards staff and co-patients and expressing grandiose delusional beliefs. His olanzapine dose was increased at his request. On March 7, 2024 Mr. Quach was transferred to the FATU due to bed flow requirements.

36On May 13, 2024Mr. Quach asked if he could be discharged to the community immediately following the current Board hearing if granted community living. It was explained to him the unlikelihood of this given the progressions he would have to make in the Hospital to a less secure unit if he were housed in a secure unit, through the pass ladder and then ultimately to the community. He was disappointed to hear this.

37Mr. Quach achieved level 1 passes on April 8th and transitioned to level 2 passes on May 13th. There were no issues with the utilization of passes. He continued to see Dr. Cripps for psychotherapy weekly with a focus on anger management and trauma regarding the loss his brothers to a shooting and an overdose and his father to cancer.

38As of May 15, 2024 discussions were initiated regarding a potential transfer back to a general forensic unit.

The Current Reporting Period – May 2024 to April 2025

39On May 22, 2024 Mr. Quach was again transferred from a secure unit to a general forensic unit. During the current reporting year Mr. Quach’s disposition was generally positive. He has achieved and maintained stability and made progress toward his goal of being discharged to community housing. No restrictive interventions such as restraint, seclusion or Code Whites have been required. Mr. Quach has been assessed as capable of openness and trust with multidisciplinary team members. He is capable of consenting to psychiatric treatment.

40However Mr. Quach remains limited in his capacity to explore his mental state as regards risk. Regarding medication adherence, Mr. Quach was generally compliant with his injections and oral medications but for several days in mid-August 2024 he refused oral olanzapine.

41Mr. Quach has not tested positive for any illicit drugs or alcohol and has complied with regular testing and there was low suspicion regarding ongoing use of substances. He has moved through the pass ladder since his time in a general forensic unit progressing through regular indirectly supervised passes on the Hospital grounds and in the community without any breaches or significant risk concerns.

42However Mr. Quach has not successfully completed any therapeutic mental health or substance misuse groups although he has participated on an intermittent basis with various activities and programs. He engaged on a limited basis in creativity and employment activity. Mr. Quach attended one-on-one FORCAT sessions with Dr. Cripps between February 1, 2024, and January 21, 2025, which were paused temporarily until he approaches discharge to the community.

43In terms of positive features for discharge planning Mr. Quach: has maintained a close connection with his family; expresses an interest in entrepreneurial ventures; is motivated, has strong interpersonal skills and has maintained a positive therapeutic relationship with his treating team; an approved person within his family is being considered; and in terms of self-care and activities of daily living he is fully independent. If discharge to his family is not deemed appropriate, Mr. Quach will be a potential candidate for transitional housing.

44As regards areas of improvement Mr. Quach requires: better consistency with his goals; improved engagement in terms of programming; and improved sleep hygiene which will assist with the risk of relapse.

45Regarding the risk of violence and re-offence the Hospital Report states at p. 28:

In risk assessment, one of the best predictors is a patient’s history of violence. Mr. Quach’s history of violence involves engaging in behavior that has resulted in serious physical and psychological harm. He has been violent toward members of the public, hospital staff, and law enforcement. If Mr. Quach were to reoffend, this will likely transpire in the context of non-compliance with psychiatric treatment and/or decompensation of his mental state, leading to a return of mania and psychosis. As he experiences escalating mania and psychosis, he will likely engage in agitated and violent behavior, as were the circumstances around his index offence and during the present admission.

Based on the risk assessment, the clinical team opines that he continues to represent a significant threat to the safety of the public absent ORB supervision.

He would remain a low-moderate risk for violence under the recommended disposition of a Detention Order. In contrast, should he be subject to a Conditional or Absolute Discharge, the risk of future violence would be moderate-high.

Oral Evidence of Dr. Owen O’Sullivan

46Dr. O'Sullivan testified that there were no material updates to the Hospital Report. Mr. Quach remains in a general forensic unit.

47Dr. O’Sullivan explained that he recommended a detention order at this juncture because Mr. Quach has continued to exhibit significant symptoms of his bipolar I disorder over the last several years with multiple relapses and hospitalizations consequent upon medication non-compliance. Of particular concern is that during several acute episodes in the Hospital when Code Whites were called in 2024 Mr. Quach has required seclusion and restraints.

48It is Dr. O’Sullivan’s opinion that Mr. Quach's risk profile necessitates that the Hospital approves his housing under a detention order.

49Dr. O’Sullivan explained that a detention order is also necessary because the Mental Health Act admission criteria are not sufficient to facilitate swift enough admission to the hospital in the event of an acute relapse. He said that while an outpatient team is likely to recognize emerging signs of decompensation at quite an early stage, as Mr. Quach does not qualify for admission under Box B of the Mental Health Act, the team would have to wait until he met criteria under Box A.

50Dr. O’Sullivan testified that at this point it would be too late to interrupt a relapse of his illness - even a one or two-day wait being too long. And it is Dr. O'Sullivan's further view that Mr. Quach is not likely to voluntarily go to the emergency department nor to remain in the hospital during an acute phase. In those circumstances detention is essential as a conditional discharge would not be suitable to manage Mr. Quach’s risk.

51Dr. O’Sullivan acknowledged that Mr. Quach is independent in daily living and is anxious to quickly be discharged to the community to pursue some of his entrepreneurial ambitions. However Mr. Quach, as Dr. O’Sullivan explained, needs stable housing that is approved by the treatment team and a community treatment team to monitor his mental status and medication compliance.

52Dr. O’Sullivan pointed out the challenges in finding an approved person in the family and suitable community housing. He explained that an approved person is necessary for safe discharge to the community. Mr. Quach’s mother is currently being explored as an approved person and her home as approved housing. Dr. O’Sullivan testified that an assessment of the home by the case manager and a family meeting will be held to explore these options.

53Dr. O'Sullivan also testified that while Mr. Quach's insight is fair at this time and he commits to continue treatment, he is capable of only limited exploration of his mental state as relates to risk. The doctor described the increase in the reporting requirement to not less than once a week as a means to create a more robust provision for monitoring in the community.

54Mr. Quach has shown facility with goal-setting. Dr. O'Sullivan testified that while the treatment team supports his enthusiasm, the team recognizes Mr. Quach's challenges in executing and maintaining engagement in these activities often because of fatigue resulting from poor sleep hygiene. To address these challenges and to avoid over-expansiveness in his plans the treatment team is looking at whether his goals are competing and his plans consistent and is addressing his poor sleeping habits to avoid him being overwhelmed to the point of relapse.

Mr. Quach’s Testimony

55Mr. Quach confirmed that he has been doing well during the last year in the Hospital. He indicated that he has learned a great deal from the therapeutic programming such as his anger management sessions with Dr. Cripps. He indicated that he is prepared to attend more programs if recommended even if he does not agree with the recommendation. Mr. Quach expressed enthusiasm at the prospect of being able to develop a closer relationship with his brother if he is discharged to his family home. On the importance of being released to the community, Mr. Quach asserted that he is motivated to get back to his business endeavours and his carpenter union.

56Mr. Quach assured the Board that if he experiences indicators of a relapse he will report this to his family and the treatment team immediately even if this occurs when he taking his medications. Regarding substance use he testified, and the evidence tends to show, that he has not used marijuana since his teens and that for religious reasons he does not indulge in any drugs or alcohol.

The Parties’ Positions

57The Crown supported the Hospital’s position that Mr. Quach continues to be a significant threat to the safety of the public and that the least onerous and least restrictive disposition, that is necessary and appropriate in the circumstances, is to maintain the existing disposition with changes as outlined above.

58Counsel for Mr. Quach did not contest a finding of significant threat, but submitted that the evidence supports Mr. Quach’s entitlement to a conditional discharge and he supported the amendments recommended by the Hospital.

The Board’s Determination

59Based on the evidence before us, the Board unanimously accepts the opinion, as stated in the Hospital Report, that Mr. Quach remains a significant threat to public safety within the criteria outlined in Winko and as defined in s. 672.5401 of the Criminal Code. In arriving at our determination the Board considered the criteria, as set out in s. 672.54, namely, the paramount criterion of the safety of the public and Mr. Quach’s community re-integration, his mental condition and his other needs.

60The Board accepts, in accordance with s. 672.54 of the Criminal Code, that the least onerous and least restrictive disposition, that is necessary and appropriate in the circumstances, is an order requiring Mr. Quach to remain in the Forensic Services at CAMH with privileges up to residing in approved accommodation in the community. The Board agrees with the amendments as recommended to the existing disposition.

61The Board arrives at that decision for the following reasons.

62The Board finds that the evidence amply establishes that it would be premature to allow a conditional discharge at this time.

63The Hospital Report indicates that Mr. Quach made considerable strides during the current reporting year. Mr. Quach confirmed that view in his testimony. He has demonstrated the following favourable factors as he: has maintained stability; has developed a good relationship with the clinical team; is capable to consent to psychiatric treatment; has not required seclusion or Code Whites; has been generally compliant with medications except when he refused oral olanzapine in mid-August 2024; has a low suspicion of use of substance; has continued his weekly psychotherapy sessions with Dr. Cripps for much of the year; and has moved through the pass ladder achieving regular indirectly supervised passes on the Hospital grounds and in the community without risk concerns.

64But with this progress of concern is that Mr. Quach remains limited in his capacity to explore his mental state as regards risk. In this regard the Board has considered the not-too-distant significant number of relapses only last year where several Code Whites, restraints and seclusion were necessary for threats of violence, aggressive acts and non-compliance with unit rules.

65Even though in February 2024 he was given an increase in his olanzapine on his request, two further Code Whites were called subsequently. To his credit Mr. Quach agreed to two further increases in March and April 2024. And while his mental status improved with the amplification of his medication, in May 2024 when asked what would happen if he stopped his medications, he stated, "I could get sick again, not right away, but maybe after a year or two." When asked about his risk of violence, he stated that he was no longer at risk of violence because he had attended some anger management programming on the unit. Further, for several days in mid-August 2024 he refused oral olanzapine.

66Given the above evidence the Board agrees with Dr. O'Sullivan that a robust plan for community living is essential to manage Mr. Quach's risk in the community. Dr. O'Sullivan outlined the elements required for such a plan and identified those criteria that have not yet been satisfied.

67Approved accommodation and an approved person have not been established. The mother's home is being considered as a potential approved accommodation and the mother as a potential approved person. Those decisions are pending his case manager's investigation of the home, a meeting with the family, communication with the family doctor and a discussion with the mother. Also critical to Mr. Quach's care in the community, given his propensity to relapse, is a structured community oversight plan involving an outpatient treatment team including a case manager to monitor him following discharge.

68The Board would urge the Hospital to move as quickly as reasonably possible to effectuate the necessary steps to facilitate Mr. Quach's transition into the community. The Board is impressed with Mr. Quach's enthusiasm to make the move and get back to his entrepreneurial endeavours, trade union and community involvement. The Board is heartened by the overall improvement in Mr. Quach’s mental status and behaviour which he confirmed in his testimony. We encourage him to continue on this positive trajectory with a view to possibly being transitioned to the community during the next reporting year.

69Based on the Hospital Report and the evidence added in Dr. O’Sullivan’s and Mr. Quach’s testimonies the Board concludes, under s. 672.54 of the Criminal Code, that Mr. Quach remains a significant threat to public safety and that currently the necessary and appropriate disposition, that is the least onerous and the least restrictive to mitigate threat to public safety, is an order continuing his detention in the CAMH Forensic Services with privileges up to residing in approved accommodation in the community on the terms of the existing disposition with the amendments set out above.

70The Board finds that disposition satisfies the paramount criterion under s. 672.54, of protecting the safety of the public and further meets Mr. Quach's interests in community reintegration while supporting his mental health and other needs.