Re Siobhan Arnatsiaq, 2025 CanLII 66915

Re: Siobhan Arnatsiaq

ORB File No: 7886

Hearing held on: Wednesday, June 18, 2025

Place of hearing: North Bay Regional Health Centre – North Bay Site

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

Before:

Alternate Chairperson: Mr. C. Fraser

Members: Dr. R. Kunjukrishnan Dr. G. Stones Ms. C. Murray Mr. A. Bouvier

Parties Appearing:

Accused: Siobhan Arnatsiaq Counsel: Ms. A. Szigeti

The person in charge of hospital: Counsel: Mr. P. Trenker Representative: Ms. J. Doyon

Attorney General of Ontario: Counsel: Ms. M. Mazurski

REASONS FOR DISPOSITION

(Dated July 8, 2025)

Introduction

1. On May 7, 2021, Siobhan Arnatsiaq was found not criminally responsible (NCR) on account of mental disorder on charges of assault and fail to comply with release order, contrary to the Criminal Code of Canada (“Criminal Code”).

2. Ms. Arnatsiaq is currently subject to a Disposition of the Ontario Review Board (“the Board”), dated September 5, 2024, which detains her within the Forensic Programs of the North Bay Regional Health Centre – North Bay Site (“NBRHC” or “hospital”) with privileges up to and including entering the community of North Bay, accompanied by staff, person approved by the person in charge, or community agency.

3. On June 18, 2025, the Board convened a hearing at NBRHC to conduct the annual review of the current Disposition.

4. Ms. Arnatsiaq was present at the hearing and was represented by her counsel, Ms. Anita Szigeti, throughout who appeared virtually via Zoom.

5. A hospital report ("hospital report"), dated May 22, 2025, was entered as Exhibit 1. During Dr. Le’s oral evidence, Ms. Arnatsiaq submitted an email to Mr. Trenker regarding the stay of proceedings relating to her June 2023 charge of assault. This email was entered as Exhibit 2.

6. The issues to be determined are whether Ms. Arnatsiaq continues to represent a significant threat to the safety of the public and, if so, the necessary and appropriate Disposition to manage that risk having regard to the criteria set out in s. 672.54 of the Criminal Code. In addition, the Board was asked by Ms. Szigeti to consider a transfer to Centre for Addiction and Mental Health (“CAMH”) pursuant to a Rule 13 request.

7. For the reasons set out below and based on the evidence before us, the Board finds that Ms. Arnatsiaq continues to present a significant threat to the safety of the public. The Board orders Ms. Arnatsiaq be transferred to CAMH on terms set out in our Disposition Order. The terms of her Disposition are unchanged from last year’s Disposition pending her transfer. This is the necessary and appropriate Order having regard to the safety of the public, which is the paramount concern, and having regard to Ms. Arnatsiaq’s mental health, reintegration into society, and her other needs.

Position of the Parties

8. At the commencement of the hearing, the parties were asked for their initial positions. Counsel for the Hospital submitted that Ms. Arnatsiaq continues to represent a significant threat to the safety of the public and recommends the continuation of the Detention Order with the same terms and conditions as the 2024 Disposition. They do not oppose Ms. Arnatsiaq’s request for a transfer to CAMH.

9. Counsel for the Attorney General supports the hospital’s position.

10. Counsel for Ms. Arnatsiaq raised several issues at the commencement of the hearing. She alleged that there is a treatment impasse, and Ms. Arnatsiaq should be transferred to and detained at the Centre for Addiction and Mental Health (“CAMH”). Notice of the Rule 13 request was provided to CAMH on June 9. In a written response dated June 10, CAMH did not support the transfer request. Additionally, Ms. Szigeti submitted that the hospital had failed to comply with paragraph 5 in the September 5, 2024, Disposition, being to “arrange for a culturally informed independent assessment of the accused, to evaluate treatment needs, risk factors, and overall situation”. Ms. Szigeti further raised concerns that Ms. Arnatsiaq has been secluded on two occasions (August 1 to 16, 2024, and December 31, 2024, to January 7, 2025) yet there was no notice of a Restriction of Liberty (ROL) provided by the hospital. At this hearing, Ms. Szigeti was not requesting a specific remedy for either the failed assessment or the lack of a restriction of liberty notice, albeit she wanted the record to reflect these omissions for future hearings. She stated that the focus at this hearing is to get a new Detention Disposition specific to the transfer to CAMH.

11. Ms. Szigeti provided a case from the Court of Appeal for Ontario, Gonzales [Re] 2017 ONCA 102, 136 O.R. (3d) 453. Due to the submission of this case late morning on the date of this hearing, this panel was unable to review this case prior to the hearing. Ms. Szigeti did not refer to the case throughout the course of the hearing except to state that the case defines treatment impasse which is different from the context in which Dr. Darby referred to the treatment impasse in the CAMH Rule 13 response correspondence. Ms. Szigeti also provided Reasons for Ruling of the Ontario Review Board dated February 25, 2025 (Re: Troy Warner / ORB File No: 6069 & 6349). These Reasons were also sent to the Board late morning on the day of this hearing. She stated that she filed these Reasons to illustrate what constitutes a reportable restriction of liberty.

12. Ms. Szigeti noted that Ms. Arnatsiaq feels she is not a threat to the safety of the public. This position was not meaningfully advanced at the hearing.

Current Psychiatric Diagnoses

13. Schizoaffective Disorder, Bipolar Type

Index Offences

14. The circumstances giving rise to the Index Offences are extracted from the hospital report, as follows:

“November 10, 2020

On the 10th day of November 2020, the accused was present at the Civic Hospital locate at 1053 Carling Avenue in the City of Ottawa. While walking in the hallway of the Civic Hospital the accused walked past Mireille LABELLE, who was walking in the opposite direction. The accused punched LABELLE in the mouth causing LABELLE fell against the wall and then to the ground. The accused then repeatedly kicked and punched LABELLE, while LABELLE was on the ground. Nurses intervened and stopped the assault upon LABELLE. As a result of the assault LABELLE suffered a broken clavicle

bone.” [sic]

“December 5, 2020

[On or about the 5th of December 2020, in the City of Ottawa, Ontario Canada, Siobhan ARNATSIAQ release order from Honourable Justice J. LEGAULT with conditions to reside with her surety. At approximately 2:30 p.m., ARNATSIAQ left the residence of her surety located at 111 Putnam Avenue. At this time knew full well that she was bound by a release order requiring her to reside with her surety. Her surety, Alexander COLLIN was not with her and phoned police to advise that ARNATSIAQ was breaching her release condition. ARNATSIAQ did not return back to 111 Putnam Avenue until 11:45 a.m., on December 6th 2020. On or about the 6th of December 2020, in the City of Ottawa, Ontario Canada, Siobahn [sic] ARNATSIAQ was bound by a release order from Honourable Justice J. LEGAULT with conditions to reside with her surety. On the 6th of December 2020 ARNATSIAQ left her residence at 111 Putnam Ave at approximately 10 p.m., without her surety, knowing full well that she was bound be a release order requiring her to reside with her surety. ARNATSIAQ entered a Westway taxi and drove to Les Suites located at 130 Besserer Street with all of her belongings. ARNATSIAQ's surety, Alexander COLLIN advised Ottawa Police of this. At approximately 10:30 p.m., Ottawa Police arrived on scene and located ARNATSIAQ at Les Suites. ARNATSIAQ was not with her surety, Alexander COLLIN. ARNATSIAQ was immediately placed under

arrest by Ottawa Police.]” [sic]

15. Ms. Arnatsiaq is a 48-year-old mother of three daughters. She was born in Frobisher Bay (now Iqaluit), Nunavut. She is Inuk. According to the hospital record, her mother was a survivor of the residential school system and suffered depression and alcoholism. Ms. Arnatsiaq was raised in a violent home; her father emotionally abused her as a child. There are also a number of reported abuses by a family friend and her stepfather. Her ex-partner (the father of her children) was abusive and Ms. Arnatsiaq reports being hospitalized on several occasions because of the injuries she received including broken bones.

16. Ms. Arnatsiaq was found incapable of providing consent for treatment on December 19, 2022. Her stepmother, Jeanne Mike, is her Substitute Decision Maker (“SDM”). Ms. Arnatsiaq is also incapable of managing her finances.

17. Ms. Arnatsiaq does not have a criminal history prior to the index offences.

18. According to records from the Ottawa Carleton Detention Centre, Ms. Arnatsiaq was previously charged with entering a stranger’s home and waiting for the family to return home. Police responded and she was brought to the hospital on account of a mental illness. The charges were subsequently withdrawn or stayed. On November 10, 2020, at the Ottawa Civic Hospital, Civic Site, Ms. Arnatsiaq assaulted a 71-year-old female co-patient. She hit the woman in the face, knocking her to the ground, and then proceeded to kick the co-patient. Charges were pressed by the victim and the victim’s family.

19. Ms. Arnatsiaq began abusing cannabis and alcohol at the age of thirteen and was using heavily by the age of fifteen. She has attended various addiction treatment programs and Alcoholics Anonymous meetings in the past.

20. Ms. Arnatsiaq graduated from law school in 2006. She practiced as a defence lawyer in Iqaluit and was employed as a policy analyst for the Department of Justice in Nunavut. The hospital record does not indicate when she stopped working.

21. The hospital report provides a history of psychiatric admissions, which need not be repeated in depth here. At various times she was admitted and / or detained in hospitals on Mental Health Act forms. In summary, Ms. Arnatsiaq has an extensive psychiatric history starting at the age of sixteen (1993) when she was admitted to the Children’s Hospital of Eastern Ontario (“CHEO”) in Ottawa due to an overdose. She also had psychiatric admissions to Selkirk Mental Health Centre (2008, 2013, 2017x2), Qikiqtani General Hospital (2013, 2017x3, 2018, 2019, 2020x2), Ottawa Civic Hospital (2017, 2020), The Royal Hospital, Ottawa (2017, 2018, June 18, 2019 to February 14, 2020), Ontario Shores Centre for Mental Health Sciences (May 21, 2020 to October 21, 2020), Montfort Hospital (2020), North Bay Regional Health Centre, Mental Health and the Law Program (February 2, 2021 to present).

22. On October 29, 2020, Ms. Arnatsiaq eloped from Qikiqtani General Hospital. She was returned to her unit by the RCMP. On June 4, 2024, Ms. Arnatsiaq absconded from the NBRHC hospital grounds while utilizing accompanied privileges. She was apprehended by police and returned to hospital. Dr. Alabi (her forensic psychiatrist at the time) posited that Ms. Arnatsiaq acted opportunistically by leaving the cultural grounds during a momentary interruption in the staff’s line of sight.

23. In December 2020, Ms. Arnatsiaq was transferred from the Ottawa Carlton Detention Centre to Hospital Montfort for assessment on a Mental Health Act Form 1 after attempting to strangle her cellmate on two occasions and refusing psychiatric medications for two weeks.

Course Since Last Disposition

24. Throughout the reporting year, Ms. Arnatsiaq remained on Deer Lodge, going between the assessment and flex side of the unit. Due to her fluctuating mental status, risk of violence and elopement, she was unable to be transitioned to a rehabilitation unit. The hospital report notes that Ms. Arnatsiaq continues to exhibit limited insight into her treatment needs, prefers to avoid psychopharmacological treatment, and typically denies having a mental illness. While she adhered to her long-acting injectable psychotropic medication, she did not consistently take her oral (or medical) medications. This led to a significant deterioration in her mental status, which resulted in the need for seclusion on three occasions. The most recent seclusion was from January 31 to February 7, 2025, following an incident where she punched a nurse in the face. After this incident Dr. Le met with Ms. Arnatsiaq who explained that she hit the nurse because the army recruited her and they came to pick her up but the nurse wouldn’t let her leave.

25. Ms. Arnatsiaq has experienced side effects from her medication, including fatigue and drooling. She has generally declined the use of PRN Cogentin to manage the side effects. On April 1, 2025, her morning dose of olanzapine was discontinued and her bedtime dose was increased to 20mg to alleviate daytime drowsiness. On April 22, 2025, Ms. Arnatsiaq inquired of Dr. Le about the possibility of future dosage reductions despite expressing no concerns about her current medication regimen.

26. During the reporting year, all random urine drug screen results have consistently returned negative results for substances. Due to Ms. Arnatsiaq’s fluctuating mental state, she did not engage with the Concurrent Disorder Clinician nor participate in addiction programming.

27. During the reporting year, Ms. Arnatsiaq continued to experience residual psychotic symptoms. She has acknowledged experiencing auditory hallucinations, which are commanding in nature at times. She continues to experience delusional ideations that hinder her ability to cooperate with her care plan. She continues to have delusions with religious, erotomanic, and persecutory themes. Her emotional distress arising from these delusions appears to significantly contribute to her aggressive behaviours without consideration of consequences.

28. During the reporting year, Ms. Arnatsiaq’s privileges have varied depending on her mental status. In October 2024, her cooperation improved, which allowed her to exercise off-unit privileges. Unfortunately, these privileges were short-lived. On November 26, 2024, her off-unit privileges were reinstated to allow her to attend an e-HARM case conference. However, her agitated behaviour during that meeting prompted a further assessment of her risk level, resulting in removal of the off-unit privileges. In January 2025, she again regained her off-unit privileges until the end of that month when she experienced a deterioration in her mental status.

29. The hospital report notes that during the reporting period, the treatment team and Minowacihewin (“MINO”) have worked to address Ms. Arnatsiaq’s cultural needs and goals. She has participated in smudging and prayer and has enjoyed cultural foods like Bannock and country food provided by her family. MINO committed to helping her access other Inuit resources such as CBC North Inuk podcasts, Aboriginal television programming, and have reconnected her to Tungasuvvingat Inuit (“TI”), an urban services provider that offers community support to Inuit people. In early April 2025, she began attending Elder’s Tea on Fridays but has declined to participate on a number of occasions.

30. Ms. Arnatsiaq expressed interest in working with a psychologist for treatment for psychological trauma, but the treatment team concluded that her tolerance is currently too low to initiate trauma psychotherapy.

31. In June 2023, Ms. Arnatsiaq was charged with assault when she physically attacked and injured a staff member. On December 18, 2024, she attended in court in person as required by the court, supervised by two police officers and two NBRHC staff members who provided support. The charges against her were stayed.

Evidence at the Hearing

32. The Board had available to it the evidence and documents forming the Record, the hospital report and Exhibit 2, and oral evidence from Dr. Stephanie Le, who is Ms. Arnatsiaq’s psychiatrist and author of the hospital report. In addition, Ms. Arnatsiaq provided oral evidence.

33. Dr. Le testified that she has been Ms. Arnatsiaq’s psychiatrist since January 2025. She stated that, although she has been able to have discussions with Ms. Arnatsiaq, much of their interactions are superficial. Currently Ms. Arnatsiaq has no insight into her mental illness, which creates struggles when it comes to discussions relating to treatment recommendations.

34. Dr. Le noted that the symptoms of Ms. Arnatsiaq’s illness are primarily auditory hallucinations, often command in nature, with some of the voices telling her to engage in violent acts. Ms. Arnatsiaq has a strong desire to save the world, has affective instability including elated mood and rapid decompensation to crying and wailing, episodes of violence arising from voices telling her she needs to defend herself, hypersexuality including exposing herself and making sexual comments to staff. Ms. Arnatsiaq has repeated delusions leading her to believe that the hospital was built to detain her to prevent her from saving the world. She contends that the nursing staff are both being paid and paying to keep her in the hospital. She also believes that the ORB is conspiring to keep her in hospital. She acts out on her fixed beliefs violently.

35. Dr. Le testified that Ms. Arnatsiaq has not been able to form an alliance with any treatment providers at the hospital. Dr. Le testified that possibly if Ms. Arnatsiaq goes to a new city and interacts with a new treatment team, she may develop trust and be able to make inroads into her recovery. Dr. Le would like to provide Ms. Arnatsiaq with the resources she needs to move forward and, if Ms. Arnatsiaq believes she should be in another hospital, the doctor supports the transfer. Ms. Arnatsiaq has long-standing beliefs that the hospital staff is trying to block a transfer to CAMH. Dr. Le would like Ms. Arnatsiaq to retain the autonomy to be empowered to make a transfer request.

36. In response to Ms. Szigeti’s questions, Dr. Le testified that Disposition Orders are typically emailed out to her by the legal coordinator. She took over Ms. Arnatsiaq’s care from Dr. Alabi in January 2025. As a result, Dr. Le did not receive the email from the legal coordinator including the 2024 Disposition Order. Dr. Le reviewed Ms. Arnatsiaq’s record when she took over her care from Dr. Alabi, but did not see any reference to a culturally informed independent assessment. Dr. Le is willing to order an assessment but would like further clarification as to what the assessment is to specifically address. Dr. Le did not have any information as to why Dr. Alabi did not move forward with an independent assessment. Mr. Trenker made it clear at this point that there was confusion over the words “assessment of the accused”.

37. Ms. Arnatsiaq feels more comfortable when she has her counsel available in-person for her assessments. Dr. Le feels it is a “side-benefit” to a transfer to CAMH. Since her counsel is based in Toronto, Ms. Arnatsiaq may be able to engage and consult with her counsel more readily to get the assessments done, which would be beneficial for Ms. Arnatsiaq. Dr. Le supported the transfer to CAMH.

38. In response to questions of the panel, Dr. Le testified that Ms. Arnatsiaq is not interested in pursuing treatment with clozapine or ECT. When asked by the Board if there would be any value in discussing options for transfer to other hospitals other than CAMH, Ms. Szigeti interrupted to advise that it is not a realistic option for Ms. Arnatsiaq to go elsewhere. Ms. Szigeti stated that Ms. Arnatsiaq has had bad experiences at Royal Ottawa Hospital and Ontario Shores Centre for Mental Health Sciences.

39. Dr. Le was not sure if Ms. Arnatsiaq had incurred criminal charges for punching the nurse in the face in January 2025.

40. Dr. Le did not believe that there is a greater elopement risk at CAMH than at NBRHC.

41. Ms. Arnatsiaq gave the following oral testimony at the hearing. She stated that she has not acted out in nine months. She stated she has no charges before the court and that she should not be in front of the ORB. She believes she should have been released on December 18, 2024, when her most recent charges were stayed. She stated that after she was released from the ‘rubber room’ in August, she then went to her room alone and a guard was posted outside her room for months. She stated she has not received privileges beyond secure yard since her August 1 to August 16, 2024, seclusion. She confirmed that she would prefer to be in hospital at CAMH if she must be detained.

Submissions

42. At the conclusion of the hearing the hospital maintained their initial position and submitted that the hospital supports Ms. Arnatsiaq’s transfer to CAMH. With respect to the culturally informed assessment, the hospital agrees that it ‘dropped the ball’ regarding this assessment but they were not certain what the focus of the assessment should be.

43. At the conclusion of the hearing counsel for the Attorney General confirmed that they support and adopt the hospital’s submissions.

44. Counsel for Ms. Arnatsiaq maintained her opening position. She submitted that there is a clear treatment impasse as no progress is being made by Ms. Arnatsiaq. She submitted that Dr. Darby at CAMH has interpreted the meaning of impasse incorrectly in his Rule 13 response letter. The culturally informed assessment ordered last year was to see what, if anything, could be done to break that impasse. Ms. Szigeti submitted that the least onerous order would be a transfer to and detention at CAMH. She stated that if there was a transfer to CAMH the assessment is no longer of the same relevance since the purpose of the assessment was to see what could be done to break the treatment impasse. She noted that Ms. Arnatsiaq had previously been a patient at both Royal Ottawa Hospital and Ontario Shores Centre for Mental Health Sciences and she had bad experiences at both hospitals which is why Ms. Arnatsiaq does not want to go to either of those hospitals.

Analysis and Conclusions

45. Having heard and considered the entirety of the evidence as well as the submissions from the parties, the Board unanimously finds that Ms. Arnatsiaq remains a significant threat to the safety of the public.

46. In particular, the Board finds that Ms. Arnatsiaq’s Schizoaffective Disorder is severe and persistent. Despite ongoing treatment, Ms. Arnatsiaq continues to exhibit psychotic symptoms. When unwell she has psychotic symptoms including persistent auditory command hallucinations and compelling delusions that leads to lack of self-control, an inability to exercise appropriate judgement, an inability to act rationally, unpredictable and, at times, physically violent behaviour.

47. Ms. Arnatsiaq has a long history of violent behaviour toward other patients and staff. Despite being in a supervised hospital setting, the assault leading to the charges for which she was found NCR resulted in serious injury to the victim. In 2023, her mental illness contributed to assaults against hospital staff, which resulted in a further criminal charge, which has now been stayed. As recent as January 2025, Ms. Arnatsiaq punched a nurse in the face. Ms. Arnatsiaq has required seclusion several times in the reporting year due to her decompensated mental state, and increased risk, and actual physical harm to others. Seclusion was necessary for the safety of those in her environment.

48. Ms. Arnatsiaq has a history of non-compliance with treatment. She has been inconsistent with her treatment regimen and has stopped taking medications after being discharged from various psychiatric facilities over the years, as well as during the past reporting year. When she stops taking medication, she experiences rapid mental decompensation, increased agitation, and violent behaviours. She does not wish to receive treatment with clozapine or ECT.

49. Ms. Arnatsiaq has poor insight into her mental illness, the need for treatment, and the potential risk she poses to others. The Board finds that there is ample evidence that Ms. Arnatsiaq would very likely stop taking medications if not subject to a Detention Disposition.

50. In light of the Board’s finding of significant threat, it is charged with shaping a Disposition for the coming year.

51. The Board considered a Conditional Discharge and found such a Disposition would not be sufficient to manage Ms. Arnatsiaq’s risk. Ms. Arnatsiaq continues to be mentally unstable, requiring a high level of supervision. She has been unable to maintain her privilege levels throughout the year. She committed an assault on a nurse in January 2025. Ms. Arnatsiaq would not be compliant with medication in the community. Due to her unstable mental state, discharge to housing in the community has not been considered. Ms. Arnatsiaq would not be manageable in the community, and she would present a significant risk to the public if granted a Conditional Discharge. The hospital requires the authority to approve appropriate housing for Ms. Arnatsiaq, commensurate with the risk she poses to public safety, and only a Detention Order gives the hospital this authority.

52. The Board considered Ms. Arnatsiaq’s request for a transfer to CAMH. We note that CAMH does not support a transfer. In his response letter to the Rule 13 request, Dr. Darby states that he does not believe that there is a therapeutic impasse. Rather, it is his opinion that Ms. Arnatsiaq’s lack of progress is due to the severe nature of her treatment resistant schizophrenia. Dr. Darby does not envision Ms. Arnatsiaq’s course being any different at CAMH than at NBRHC. Dr. Darby is further concerned that given CAMH’s location in downtown Toronto, Ms. Arnatsiaq’s elopement risk would be even more substantial than at NBRHC. Dr. Darby also pointed out that the wait list is very long and, were there an inter-hospital transfer, Ms. Arnatsiaq could wait well over a year for a transfer. We considered Dr. Le’s firm evidence that she believes that a transfer would be helpful for Ms. Arnatsiaq. We further considered the joint submission of the parties supporting a transfer to CAMH.

53. Dr. Le did not believe that there would be a greater elopement risk at CAMH than there is at NBRHC.

54. There is seemingly a therapeutic impasse that has held back Ms. Arnatsiaq’s progress. We note that much of the therapeutic impasse has arisen because of Ms. Arnatsiaq’s lack of insight into her mental illness and unwillingness to engage in recommended therapies such as clozapine and ECT. Regardless, she has not progressed in the forensic system at NBRHC. Dr. Le is of the opinion that if Ms. Arnatsiaq can form an alliance with staff, it would benefit her. Given that Ms. Arnatsiaq has been unable to form a working alliance with her treatment team at NBRHC, we believe that a transfer is necessary and appropriate. That being said, the Board urges Ms. Arnatsiaq to consider her treatment options moving forward. Without willingness to engage in recommended treatment, regardless of the location of her detention, we are concerned that she will find herself at CAMH unable to move forward in the forensic system. Her recovery at this point is largely up to her willingness to engage with treatment consistently.

55. The Board is pleased that significant Indigenous services available at NBRHC have been put in place and are relied on by Ms. Arnatsiaq to help connect her with her cultural background.

56. The Board finds that no clarification of the assessment recommended in last year’s Disposition is necessary. All parties at the 2024 hearing understood the nature of the assessment that was requested by Ms. Szigeti. In fact, the terminology used in the Disposition is identical to that requested by Ms. Szigeti at last year’s hearing. There was no request for clarification by other parties at that time.

57. Ms. Szigeti submitted that if the Board orders a transfer to CAMH it would resolve the issue without the need for the assessment recommended last year since the transfer would resolve any impasse.

58. In consideration of all the evidence, submissions of the parties and criteria set forth in s. 672.54, the paramount consideration being the safety of the public, in addition to the mental condition of Ms. Arnatsiaq, her reintegration into society and her other needs, the necessary and appropriate Disposition is a transfer to CAMH on terms set out in our Disposition Order. The terms of her Disposition are unchanged from last year’s Disposition pending her transfer, and upon transfer to CAMH, the terms of her Detention Order will mirror those of her current placement at NBRHC, with the necessary modifications to reflect CAMH’s wording of Detention Order Dispositions.

DATED this 8^th^ day of July 2025, at the City of Toronto, in the Province of Toronto.

Ms. Christine Murray

Lawyer Member

___________________________

Office of the Registrar

Ontario Review Board