Ontario Review Board

Re: Marcus Campbell

ORB File No: 7647

Hearing held on: Monday, February 23, 2026

Place of Hearing: Royal Ottawa Mental Health Centre

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

Before:

Alternate Chairperson: Mr. P. Hageraats

Members: Dr. R. Kunjukrishnan

Dr. G. Boulais

Mr. J. Weinstein

Mr. R. Rainboth

Parties Appearing:

Accused: Marcus Campbell

Counsel: Mr. M. Davies

Person in charge of hospital: Representative: Dr. J. Gojer

Attorney-General of Ontario: Counsel: Mr. J. Wright

REASONS FOR DISPOSITION

(Dated April 2, 2026)

Introduction

1. On November 26, 2019, the court declared Marcus Campbell not criminally responsible on account of mental disorder (“NCR”) relating to charges of criminal harassment, unlawful entry to dwelling and a breach of recognizance (section 810 peace bond) – all of which are offences contrary to the Criminal Code of Canada.

2. Mr. Campbell is currently subject to a Disposition of the Ontario Review Board (“ORB” or “the Board”) dated March 3, 2025. He was ordered to be detained at the Secure Forensic Unit of the Royal Ottawa Mental Health Centre (“ROMHC” or “the hospital”).

3. At the same time, privileges were awarded, including to live in the community in accommodation approved by the person in charge of the hospital.

4. On February 23, 2026, the Board convened at the ROMHC to conduct an annual review. Mr. Campbell attended in person. He was represented by Mr. Michael Davies, with an order made appointing Mr. Davies as counsel.

5. Documents were filed in evidence:

a) Hospital Report dated January 27, 2026

b) Letter dated February 2, 2026, addressed to the ORB, sent by Mr. Robert Fierro, MA, MSW, RSW - Ontario Registered Social Worker.

6. The issues for the Board to determine were whether Mr. Campbell continues to present a significant threat to the safety of the public, and, if so, to determine the necessary and appropriate disposition that will keep the public safe.

Positions of the Parties

7. At the outset, the parties agreed: Mr. Campbell does present a significant threat. Counsel appearing for the Attorney-General and for Mr. Campbell advised they were in essential agreement with the hospital recommendation, namely, that Mr. Campbell could be discharged, subject to conditions.

8. For the reasons set out below, the Board discharged Mr. Campbell. Conditions were ordered, including the prohibition that he must not contact the victim of the index offence and must remain away from both her and her family.

Current Psychiatric Diagnoses, Hospital Report, p. 34

• Schizophrenia

• Autism Spectrum Disorder

9. Last year, Mr. Campbell was treated with long-acting injectable psychiatric medication, Aripiprazole and Lurasidone (by oral). Currently, Mr. Campbell takes no regular psychiatric medication apart from oral Abilify 10 mg, PRN (as needed).

Index Offences

10. The circumstances are set out in the hospital report and in last year’s Reasons for Disposition, dated April 9, 2025:

Mr. Campbell had been a Masters’ level student in Public Administration at Queen’s University, Kingston, Ontario. A few years earlier, while having financial difficulty and with no place to live, his professor, Ms. L, took him into her family home to help him out. Not long after, Mr. Campbell developed an unhealthy attraction toward her; consequently, he was removed from the family home. In the months that followed, he engaged in a course of stalking. Many reports to the Kingston police then followed.

On February 23, 2018, Mr. Campbell travelled from Ottawa, where he was residing, to Kingston to see Ms. L. Ms. L’s husband turned him away at the door of their home. However, soon after, he returned and knocked at the window. Police found him on the street nearby: a citizen had called, advising that Mr. Campbell was wandering around the area looking confused. The officers apprehended Mr. Campbell under the Mental Health Act and took him to the Kingston General Hospital (KGH).

On March 10, 2018, Ms. L contacted the Kingston Police to seek advice on what to do about Mr. Campbell: she had heard from several people that he was still looking to see her and was often talking about her. She had heard he was in Kingston, but she had not yet seen him.

On November 28, 2018, police officers were dispatched to Ms. L’s home. Mr. Campbell had attended the residence and was refusing to leave. When the officers arrived, they could not locate Mr. Campbell. Ms. L did not wish to proceed with charges. The very next day, Mr. Campbell travelled to Kingston by cab from Ottawa to see her. She called the police when he got to her home. Mr. Campbell was again apprehended under the Mental Health Act and taken to KGH.

On December 21, 2018, Mr. Campbell contacted the Queen’s University Faculty Relations. He filed a sexual assault complaint against Ms. L. Following this, Ms. L filed a criminal harassment report with the Kingston Police who charged Mr. Campbell.

Ultimately, on May 9, 2019, the charges against Mr. Campbell were stayed: Mr. Campbell entered a Section 810 recognizance (Peace Bond under The Criminal Code). Court ordered conditions required that he not communicate with Ms. L and that he not be within a 100-metre radius of her person, home, or places of work or school.

On September 9, 2019, just before 7:00 p.m., Kingston Police Officers were contacted by Ms. L. She reported that Mr. Campbell was inside her residence: he was with her children. On arrival, police officers observed Mr. Campbell on the front step of the home. Mr. Campbell stated that he knew he was not allowed to be there but that it was not logical and that he needed to see Ms. L. The officers arrested Mr. Campbell for breaching his court order. He was handcuffed and brought to a police vehicle.

From speaking to Ms. L and her children, ages 15 and 13, the officers learned that during the time the children were at home alone, Mr. Campbell had let himself into the residence and had demanded to speak to Ms. L. The children were frightened. They notified their mother by text, as she was at another location. She in turn called the police. Mr. Campbell was charged with breach of a court order, criminal harassment, and unlawful entry to a dwelling. When advised of his rights to counsel and issued a formal police caution, and asked if he understood, Mr. Campbell stated, “Yes, but this isn’t logical.” When asked if he wished to call a lawyer, he did not reply but instead went on talking about a time in Ottawa that he had called a lawyer.

The officers asked Mr. Campbell why he breached the court order. He made a comment, something to the effect of “One way or another this game has to end tonight.” He refused to clarify what he meant. Taken to the police station, he was processed; duty counsel was called. A handwritten suicide note was found inside his wallet. It stated, “I am going to commit suicide by jumping over the railing at the top of the staircase. Please keep the area below clear of others to make sure of their safety.”

By way of further background, it was later learned that earlier that same day, with Mr. Campbell living in Ottawa, he had brought himself to the Emergency Room of the Ottawa Hospital. Emergency Room staff did not recognize his mental condition but found him to be disruptive. Police were called and he was escorted from the premises and issued a trespass to property notice. From there, Mr. Campbell made his way by cab to Kingston, going on to commit the index offences.”

Personal Background

11. Mr. Campbell is 37. He remains single and has no dependents.

12. Mr. Campbell was raised in Brampton, Ontario, where his mother and sister still live. His father had died by suicide some years earlier by jumping from the family’s apartment balcony. Mr. Campbell had a closer relationship with his father than with his mother. His mother has described him as a “quirky” child who needed strict routines and became upset when routines changed. As a teenager, Mr. Campbell developed panic attacks and avoided touching people due to cleanliness concerns. Mr. Campbell did not fully process the death of his father and has expressed concerns that he might eventually follow the same path.

13. Mr. Campbell is very bright. He performed exceptionally well academically, earning a BA (“HONS”) from the University of Toronto with High Distinction in Sociology and Criminology. He received an award for being the top student across all three campuses. Mr. Campbell later completed a Master’s Degree in Public Policy at Queens University.

14. After moving to Ottawa, Mr. Campbell worked as a policy analyst for the Federal Government. Suffering symptoms of depression, which improved for a time, he struggled to make friends. He attended expected social events but felt awkward and unable to connect with others. His ongoing feelings of hopelessness and recurring psychotic episodes have made it difficult for Mr. Campbell to maintain stability.

15. Apart from the index offences, Mr. Campbell has had no involvement with police or the criminal courts.

Psychiatric History

16. In 2018, Mr. Campbell was admitted to the Queensway-Carleton Hospital. At that time, he appeared disorganized and had trouble communicating. Work stress and housing concerns contributed to an unhealthy fixation which he held on to about the victim, his former professor at Queen’s University. He spent eleven days in hospital. Treated with antipsychotic medication, his condition improved. Doctors considered both psychosis and a possible developmental disorder. He left the hospital with no follow-up care plan.

17. In March 2018, Mr. Campbell again tried to contact the victim of the index offence. By November 2018, his fixation intensified, leading him to take a taxi to Kingston from Ottawa to try to reach her. When the police became involved, he was admitted to hospital. It was noted that he had very poor coping skills and did not know where to turn when in crisis.

18. After the police charged him in November 2018, Mr. Campbell was admitted to the forensic unit of the Providence Care Hospital in Kingston. Following assessment, Dr. Chan recommended court diversion. As stated above, the charges were subsequently dropped in May 2019, when he entered the section 810 peace bond. With hospital support, Mr. Campbell returned to his government job in Ottawa. He was assigned a regular worker with the Canadian Mental Health Association (“CMHA”).

19. Following the September 2019 index offence date, and the NCR finding two months later in November 2019, Mr. Campbell lived in the Ottawa community. A year later, in November 2020, he was admitted to the ROMHC. Thereafter, he made a brief return to work but soon went back on sick leave. In May 2021, he was readmitted after having stopped taking his prescribed medication. He was later discharged but briefly readmitted in December 2021, having used marijuana to cope with reported feelings of hopelessness and boredom.

20. By January 2022, Mr. Campbell’s situation had become unstable. While still attending appointments, he refused counselling and medication. His fixation on the victim of the index offence grew worse. He was holding onto beliefs about conspiracies that were supposedly targeting him. He became unable to work and started to receive disability benefits.

21. As Mr. Campbell’s condition deteriorated, he displayed threatening behaviour. On September 7, 2022, he was admitted to the ROMHC Forensic Assessment Unit where he remained as an inpatient until February 13, 2023.

22. While in hospital, Mr. Campbell was found incapable of consenting to treatment. His mother took on the role of substitute decision-maker. Following her initial opposition to the use of injectable long-acting medication, she was persuaded to consent to treatment with injectable medication. This was initiated on January 24, 2023.

23. By February 1, 2023, Mr. Campbell became pleasant and good natured. He was accepting of treatment and agreed he had been ill and that antipsychotic medication helped him.

24. At that time, it was noted that while he was asking to see a psychologist, he had earlier fired his last hospital-based psychologist, Dr. Kokozaki. He had also fired a social worker who had been assigned to do therapy with him, Ms. V. Holmes.

25. Dr. Gojer’s risk assessment provided to the ORB in February 2023 noted the following: “Essentially, we are in a therapeutic impasse at this time”. Dr. Gojer was expressing serious concerns that Mr. Campbell would likely stop his medication. He was not interested in engaging in any programs whether in the hospital or in the community. Essential delusions about the victim remained unchanged. Dr. Gojer also noted that Mr. Campbell had been in the community prior to the then current admission for some time without decompensation and while off all medication. In the concluding paragraphs of Dr. Gojer’s hospital report, dated February 2, 2023, the following passage appears:

The lack of insight, the recent decompensation of his mental state, the uncertainty of whether he will continue with treatment or whether his substitute decision maker will allow him to be treated with the long-acting drug are all yet to be determined. While I see his risk overall is low, the potential for it to escalate is high and I see him as continuing to pose a significant risk.

I have had little faith in the hospital system using the Mental Health Act to detain him and believe that the least restrictive and most appropriate disposition is a detention order with no changes in last year’s disposition.

26. The hospital report documents Mr. Campbell’s course in the community following his discharge from hospital in February 2023. Mr. Campbell had difficulty managing alone in his independent apartment. He came close to being evicted due to concerns voiced about cleanliness.

27. In March 2023, Mr. Campbell was readmitted to the Ottawa Hospital for ten days.

28. By October 2023, Mr. Campbell’s psychiatric care was transferred to Dr. Selaman. At that point, Mr. Campbell had incorporated Dr. Gojer into his delusions. Mr. Campbell related to Dr. Selaman that his delusions were religiously themed. He thought he was the son of God and that others wanted to murder him because of his status. He wanted his suffering to end and was blaring music, resulting in an eviction notice at the apartment. At that point, he agreed with Dr. Selaman that the psychiatric medication (Abilify) was necessary to prevent future psychosis and that he had a “major mental illness.”

29. Mr. Campbell was not interested in attending hospital-based groups. He declared that he would not be submitting urine drug screens upon request. He wished to limit his contact with Dr. Selaman to only once per month. He questioned Dr. Selaman as to why she would not support his request for Medical Assistance in Dying (“MAID”).

30. Dr. Selaman described Mr. Campbell as very guarded with her. When she tried to probe into past events, he would tell her she should read his chart. Dr. Selaman noted that Mr. Campbell would often make sarcastic comments during their meetings. He would argue about the need to be seen in person, rather than virtually.

31. During Mr. Campbell’s reporting year from February 2023 to January 2024, he provided eleven urine drug screens. No cannabis or other substances were detected.

32. In Dr. Selaman’s violence risk assessment conducted in February 2024, it was her opinion that Mr. Campbell presented a moderate to high risk for future violence. The major historical risk factor was his major mental disorder, Schizophrenia, which in her opinion, was treatment resistant.

33. Dr. Selaman also noted a diagnosis of Autism Spectrum Disorder which, she believed, contributed to his very rigid and concrete thinking. Mr. Campbell also had historically developed depression for which he resisted treatment. Regarding dynamic risk factors, Dr. Selaman believed that Mr. Campbell continued to show ongoing residual delusions, including extensive ongoing paranoid delusions.

34. His living situation was at risk during the year but appeared to have settled. He had difficulty engaging with the treatment team and with their recommendations for a rehabilitation program. He resisted coming in for in-person appointments.

35. In 2024, Mr. Campbell continued to experience difficulties with psychosis, depression, and lack of engagement. In June 2024, he reported he had not been sleeping for five days and had found himself yelling at the mirror in his apartment. He had vague thoughts of suicide which eventually subsided. Dr. Gojer saw him on an emergency basis. Based on observed symptoms of psychosis, with fluctuating thoughts to end his life, Mr. Campbell was admitted to the crisis unit at the ROMHC under the Mental Health Act. When the Form 1 lapsed, and having first agreed to stay in hospital voluntarily, Mr. Campbell chose to leave - against medical advice.

36. On July 2, 2024, Mr. Campbell reached out to the treatment team, expressing his concern about “thought broadcasting and telekinesis”. He was brought to the Ottawa Hospital, Civic Campus, by the Police Mental Health Unit and later discharged from the Emergency department.

37. On July 17, 2024, Mr. Campbell reported that he’d gone to the Ottawa Hospital voluntarily the night before, due to distress. He was experiencing paranoid thinking about the past years and forces against him, including feeling targeted by law enforcement. Dr. Selaman assessed him. She completed a Form 1, which saw him transferred to the Montfort Hospital but discharged soon after.

38. In later July 2024, Mr. Campbell was admitted to the ROMHC Forensic Assessment Unit and placed under Dr. Sandhu’s care. On August 9, 2024, he was moved to the less secure Forensic Rehabilitation Unit. Medication alternatives were offered. At first, Mr. Campbell agreed to a change, i.e., to a combination of injectable and oral antipsychotic medication. However, he went on to discover some online information and declined the options presented.

39. Through the Summer of 2024, Mr. Campbell had very little involvement with treatment team members apart from the times when attending psychiatrists got to see him. During that period, Mr. Campbell’s self-care deteriorated. He was spending money on meal-prep plans and a private social worker for therapy. He kept the private social worker very separate from his care team at the ROMHC.

40. It was unclear to the treatment team if the private social worker was aware of his long history of mental illness. Mr. Campbell disengaged from his hospital case manager, Ms. Hartley.

41. Dr. Sandhu’s opinion by way of violence risk assessment was consistent with that expressed earlier by Dr. Selaman, notably that Mr. Campbell still presented a moderate to high risk for future violence.

42. Dr. Sandhu also agreed with Dr. Selaman’s previous assessment that Mr. Campbell likely suffered from treatment resistant Schizophrenia. Dr. Sandhu noted that Mr. Campbell’s above average intelligence allows him to avoid divulging many of his chronic delusions and misperceptions in order to avoid appearing floridly psychotic. Dr. Sandhu further noted the following as seen in the hospital report at pp. 24-25.

Despite education on several occasions that his medication regimen was inadequate as an outpatient, and now as an inpatient, Mr. Campbell remains hesitant to switch or modify his medication regimen. His rigidity around his medications is further complicated by his autism spectrum traits that interfere with his ability to accommodate change.

Lastly, Mr. Campbell’s ability to maintain independent housing is becoming increasingly questioned as he has relied on an adult drop-in centre for meals and his landlord has discussed their concerns regarding cleanliness and odour with the treatment team.

43. Discharged from hospital in late September 2024, Mr. Campbell returned to his apartment. He showed some improvement in engaging with treatment team members and was described as more forthcoming in describing his mood, boredom and difficulty working toward goals.

44. Mr. Campbell remained abstinent from cannabis. He saved money for international travel and was expressing hope that he might be able to travel internationally for a short vacation.

45. Dr. Sandhu supported Mr. Campbell’s desire to visit Italy or Greece, hoping this might offer him the opportunity for meaningful activities. Mr. Campbell was still receiving his injection of intramuscular antipsychotic every four weeks. According to Dr. Sandhu last year, Mr. Campbell’s housing situation was stable, despite Mr. Campbell expressing that he wanted to leave his apartment and relocate to a shelter.

46. At last year’s annual review hearing, held on February 13, 2025, Dr. Sandhu advised that Mr. Campbell understood the terms and conditions of his disposition. Dr. Sandhu added that Mr. Campbell held no animosity to the victim of the index offence.

47. Dr. Sandhu recommended to last year’s panel that Mr. Campbell be discharged on conditions. He felt Mr. Campbell had adequate insight about the negative impact of cannabis use and alcohol use. Dr. Sandhu confirmed that Mr. Campbell was not consuming either substance. This was supported by a series of negative test results.

48. At the February 2025 annual review, the Board did not agree with the recommendation to discharge Mr. Campbell on conditions. There was concern about Mr. Campbell’s fluctuating chronic decompensation with psychosis symptoms. In 2024, he had required four admissions to hospital under the Mental Health Act, each of which was completed but not continued by way of any further voluntary admission.

49. The Board was also concerned about other factors, including:

• History of disengagement from previous mental health treatment providers.

• Short duration of psychiatric care under Dr. Sandhu.

• Descriptions that Mr. Campbell was recently symptomatic with ongoing delusional thoughts relating to Dr. Gojer, CSIS and the apartment building manager.

• A somewhat precarious housing situation, given Mr. Campbell’s desire to leave his dwelling and relocate to a shelter.

• The fact that psychotropic medications did not yet appear to have been sufficiently optimized to control delusional thoughts and reduce anxiety levels.

50. In the Board’s Reasons dated April 9, 2025, they also felt that Mr. Campbell’s motivation toward international travel and exploration appeared to conflict with his overall tendency to isolate himself and not leave his apartment. The Board noted that when Mr. Campbell ventured outside his apartment, he would reportedly misinterpret stimuli from the world around him, envisioning imagined enemies.

51. The Board was further concerned that Mr. Campbell “… does not wish to be perceived as floridly psychotic.” The Board was uncertain whether Mr. Campbell still retained undisclosed delusional beliefs regarding the victim of the index offence, notwithstanding that there were no reported attempts to contact her and notwithstanding his statement that he held no animosity toward the victim. In the result, the Board decided to keep Mr. Campbell’s formal detention order in place.

Course in treatment, February 2025 to February 2026

52. Following last year’s annual review hearing held on February 13, 2025, Mr. Campbell had difficulty relating to Dr. Sandhu. His care was transferred back to Dr. Gojer in August 2025. Since then, Mr. Campbell insists he will not take any medication. Dr. Gojer reports that Mr. Campbell continues to have delusional ideas about a conspiracy of people around him who are connected to the victims and are trying to malign him. According to Dr. Gojer, this group includes another former professor from Queens University, staff at the hospital and even Dr. Gojer himself.

53. Mr. Campbell reports he has been seeing a privately retained therapist. Today’s panel received a letter, dated February 2, 2026 (Exhibit 2), from Mr. Robert Fierro, MA, MSW, RSDW, an Ontario Registered Social Worker.

54. Mr. Fierro’s letter confirms that Mr. Campbell is his patient. Beginning on April 30, 2024, and through to February 2, 2026, Mr. Campbell attended a total of 44 sessions. Mr. Fierro wrote to say that Mr. Campbell demonstrates active engagement in therapy and a high level of motivation, attending all scheduled appointments. While insurance covers some of the expenses, Mr. Campbell is responsible for a co-payment for each session.

55. Mr. Campbell continues to see Ms. Nancy Shore. Ms. Shore is the Vocational Rehabilitation Worker and Forensic Point Person with the hospital. She first received a referral to work with Mr. Campbell in August 2025. After their initial meetings, Mr. Campbell did not wish to continue vocational rehab involvement with Ms. Shore.

56. However, in her role as the hospital’s Forensic Point Person, Ms. Shore does support Mr. Campbell with physician appointments and any other needs that may come up. He declines hospital-based services and will only attend appointments with his assigned psychiatrist. He refuses to provide urine samples for drug screening despite multiple reminders that this is a breach of his disposition. He states he is not using drugs and claims drug screenings are unnecessary.

Evidence at the Hearing

57. The Board also received direct testimony from Dr. Julian Gojer, the attending forensic psychiatrist. Dr. Gojer explained that while Mr. Campbell has encapsulated him into his set of delusions, nevertheless, Dr. Gojer believes he and Mr. Campbell have a reasonable working relationship. Their arguments are about medication. Mr. Campbell has asked Dr. Gojer for one psychiatric medication, Abilify PRN (as needed), to help when he does not feel well.

58. Dr. Gojer described Mr. Campbell’s delusions. Mr. Campbell does not discuss the victim or mention wanting to contact or harm her. His delusions about her are in the past. He has limited insight about how his past actions caused the victim psychological harm. According to Dr. Gojer, for the last four years, the focus of Mr. Campbell’s delusions relates more to CSIS and others who he claims are monitoring him.

59. Dr. Gojer explained that Mr. Campbell’s relationship with himself and Ms. Shore is partly based on Mr. Campbell being dependent on the mental health system. Mr. Campbell needs them to fill in his insurance forms. Mr. Campbell has also reached out at times when he is distressed and in need of assistance. Dr. Gojer confirmed there have been no real incidents of violence to anyone - apart from the index offence arising in September 2019.

60. Mr. Campbell is chronically depressed. He is a risk to himself, keeping also in mind the background of his father’s suicide.

61. Dr. Gojer further explained that Mr. Campbell fluctuates in terms of his capacity to consent to treatment. Dr. Gojer agrees with Dr. Selaman’s opinion that the patient’s Schizophrenia is treatment resistant. That said, Dr. Gojer sees that Mr. Campbell’s Autism Spectrum Disorder likely better explains his unwillingness or difficulty to engage socially or with members of the treatment team.

62. According to Dr. Gojer, Mr. Campbell’s psychotic episodes typically settle quickly in less than 72 hours. Mr. Campbell speaks positively of his private therapist. Dr. Gojer wishes to have Mr. Campbell preserve the special relationship with Mr. Fierro and to have Mr. Campbell do so in a way that will promote Mr. Campbell’s sense of freedom and privacy. Dr. Gojer would require Mr. Campbell’s permission to speak with the therapist. For now, Dr. Gojer prefers to not push him on this, out of respect for Mr. Campbell’s sense of autonomy and personal agency.

63. Responding to questions from counsel for the Attorney-General, Mr. Wright, Dr. Gojer agreed that Mr. Campbell sees the ORB involvement as an external control. It has effectively prevented Mr. Campbell from contacting the victim. The existing disposition sends a message to Mr. Campbell that the system takes him seriously. Dr. Gojer added that Mr. Campbell recognizes how some of his past actions arose from his delusions about the victim, as opposed to other individuals. Dr. Gojer stated, this tends to reduce the level of risk presented.

64. Dr. Gojer responded to questions posed by Mr. Davies on behalf of the patient. He agreed with the suggestion that addressing the primary concern (that he must not attend Kingston and not contact the victim) demonstrates that Mr. Campbell has some understanding of the significant consequences which could result were he to breach the non-contact order. The fact that Mr. Campbell has breached other conditions in the disposition, but not the main one, tends to lessen the overall concern.

65. Dr. Gojer further agreed there is no longer any need to have Mr. Campbell submit urine samples for screening purposes. Alcohol and cannabis are no longer an issue. Dr. Gojer explained that over-controlling someone with autism is not going to help the treatment team work with him.

66. Although Mr. Campbell is essentially not medicated, Dr. Gojer agreed he appears to be reasonably stable - so that, in his present situation, the concern about non-compliance with medication is not as severe as it otherwise could be. Dr. Gojer plans to continue to see Mr. Campbell and monitor him while seeking to enhance his collaboration with the community counsellor, Mr. Fierro. Ms. Shore can offer further help with vocational therapy, if Mr. Campbell chooses.

67. Responding to questions from Board members, Dr. Gojer confirmed his opinion that Mr. Campbell does meet the threshold for significant threat. The present risk of physical harm to others is low. That said, Dr. Gojer agreed that psychological harm, as seen by the index offence, can in certain cases be much worse and more significant than physical harm.

68. Dr. Gojer has known Mr. Campbell since 2020. Mr. Campbell has been on and off medication for up to a year at a time. Throughout this overall period, and while without medication, his delusions have become neither worse nor less. Dr. Gojer is of the opinion that Mr. Campbell’s delusions can now be managed under the Mental Health Act.

69. While Dr. Gojer remains included in Mr. Campbell’s delusions from 2022, he does not fear Mr. Campbell will harm him. According to Dr. Gojer, one must look beyond the delusions: Mr. Campbell is a person who cannot trust the world. That is why he is isolated. Assessing his treatment capacity remains very difficult because Mr. Campbell is highly intelligent and understands psychosis. When one gets into discussing this with him, the conversation becomes very convoluted. The background of paranoid and persecutory thinking is there, but his psychotic episodes, tending to be brief, can be managed under the Mental Health Act.

70. Dr. Gojer stressed, he does not want to lock up Mr. Campbell just to make him take medication. Dr. Gojer also stressed, one must look at the fact that, with encapsulated delusions, this does not necessarily translate to more risky behaviour.

71. Responding to further questions from a Board member about Mr. Campbell being rigid concerning treatment, Dr. Gojer confirmed, Mr. Campbell has not contacted or harmed anyone. According to Dr. Gojer, the patient’s current ideas about the victim of the index offence are not part of the paranoid delusions currently observed. Dr. Gojer believes Mr. Campbell was earlier suffering something of an erotomania delusion about the former professor, in that he wrongly thought she was a person with whom he had an intimate relationship.

72. Dr. Gojer was asked about Dr. Sandhu’s recommendation from last year, that Mr. Campbell should participate in hospital-based counselling groups. Dr. Gojer does not agree with this. He would like to see Mr. Campbell develop skills by working with Ms. Shore. Dr. Gojer cannot force Mr. Campbell to meaningfully participate in groups or activities. Mr. Campbell continues to lack structure in his daily routine, which is a risk factor, but that problem has been going on for a long time.

Evidence of Ms. Nancy Shore, Vocational Rehab Worker, and Forensic Point Person

73. Dr. Gojer called Ms. Shore to testify. She confirmed her involvement with the patient since September 2025. They stay in contact, regularly and frequently. Ms. Shore sees Mr. Campbell in person once a month when he comes to the hospital to see Dr. Gojer.

74. She and Mr. Campbell also speak on the phone every other week. He tends to call her more often than she calls him. He is very good about phoning and returns each call promptly. She is also in contact with the privately retained counsellor, Mr. Fierro, about the possibility of organizing some involvement for Mr. Campbell with social groups. In her present role as Forensic Point Person, Ms. Shore confirmed she is willing to continue her involvement should Mr. Campbell be granted a discharge.

75. The parties presented no further evidence.

Submissions of the Parties

76. Speaking for the hospital, Dr. Gojer stated that the present risk level does not come up to the point of requiring a detention order. Counsel for the Attorney-General, Mr. Wright, agreed with the hospital recommendation to discharge Mr. Campbell on conditions.

77. On behalf of his client, Mr. Davies joined in the recommendation for a conditional discharge. Counsel submitted, Mr. Campbell has not presented any form of realistic physical threat to anyone. While there is a realistic threat of psychological harm, it is now rather dated. The critical term in the disposition, designed to protect the victim and her family, has not seen any violation at all since Mr. Campbell came under the jurisdiction of the Review Board. This is even though he has continued to be rather unwell for all the years, following the last police apprehension in 2019.

78. Mr. Davies submitted that Mr. Campbell otherwise seems to be doing reasonably well. He has a stable residence. He seeks professional mental health assistance on a private retainer with a qualified counsellor. Mr. Davies pointed out that Mr. Campbell’s issues of concern relate more to his own mental health needs than to any actual risk he might present to members of the community at large.

Discussion, Analysis and Conclusion

79. On the issue of significant threat, the parties did not dispute that Mr. Marcus Campbell continues to present a significant threat of causing serious harm - of at least a psychological nature - to certain members of the public. The Board agrees and so finds.

80. As to the necessary and appropriate disposition, the Board was presented with a joint submission recommending a less onerous disposition, namely, that the current detention order may be substituted by discharging Mr. Campbell on conditions.

81. Mr. Campbell suffers from a major mental illness, untreated Schizophrenia. He continues to experience active psychotic delusions about others. There is the added diagnosis of Autism Spectrum Disorder which contributes to his longstanding pattern of problematic self-isolation.

82. Within the last two years there were serious concerns about Mr. Campbell’s physical well-being in terms of housing, nutrition, finances and overall self-care. With his combination of diagnosed conditions, Mr. Campbell has for several years actively resisted seeking treatment, much less involving himself in anything like it.

83. Cannabis use has also been a concern, although we are prepared to accept this is no longer an issue, now that Mr. Campbell appears to have forsworn using it.

84. Mr. Campbell is highly intelligent. This is obvious from the many reports of others who have come to know him.

85. We accept the hospital evidence that the current risk he presents is less than it was at the time of index offence. Some, but not all, of the concerns presented a year ago have since mitigated. The following can be said:

a) Since the index offence arose in September 2019, there have been no reports of any breach, or anticipated breach, of the no-contact order designed to protect the victim and her family. The record establishes that Mr. Campbell has internalized the need to take the prohibition seriously by not contacting the victim and by keeping himself outside the Kingston area as he is formally required to do.

b) We also accept the hospital evidence that Mr. Campbell’s delusion about the victim appears less intense and has evolved into a new set of different beliefs involving other persons and concepts.

c) While Mr. Campbell has been less interested in accessing treatment and hospital-based resources that are there to help him progress with his psychological and vocational goals, he nevertheless does comply with the need to remain subject to hospital monitoring. This is evident from his continued - but limited - involvement with both the attending forensic psychiatrist and Ms. Shore.

d) Concerns recorded last year (see para. 49, above) are now less evident. In contrast to the 2024 reporting year, Mr. Campbell has not required readmission to hospital. Earlier reports about his housing being in jeopardy have not resurfaced.

e) Mr. Campbell’s oversight has returned to Dr. Gojer. Despite the ‘deep distrust’ in which he holds Dr. Gojer, to a degree, they have a working relationship. Based on their previous contact over the years, Dr. Gojer and Mr. Campbell know each other quite well.

f) For reasons he has expressed, Dr. Gojer sees fit to not push Mr. Campbell about obtaining consent to contact his social work psychotherapist, Mr. Fierro. We can accept, based on the added testimony of Ms. Shore, that Mr. Campbell has recognized his need for supportive counselling on a basis that he finds acceptable.

g) Mr. Campbell’s Schizophrenia condition continues to be untreated. This still needs to be addressed. While Mr. Campbell remains capable to consent to treatment, he cannot be forced to take psychiatric medications.

86. With these considerations in mind, the Board finds that Mr. Marcus Campbell’s present risk level continues to require forensic oversight under the Ontario Review Board. It is not at all clear when Mr. Campbell’s much needed psychiatric treatment will formally resume, or just what form this could take.

87. That said, the Board accepts that the primary protection of the public can be maintained for the coming twelve months without the need for a formal detention order. Balancing the priority of public safety with Mr. Campbell’s mental condition, his reintegration and other needs, he is discharged.

88. Terms and conditions are set out in the disposition. All existing wording in the prohibition from going to Kingston or contacting the victim and her family will still apply.

89. We thank the parties and counsel for their assistance.

DATED this 2nd day of April 2026, at the City of Toronto, in the Toronto Region.

Mr. P. Hageraats

Alternate Chairperson

Office of the Registrar Ontario Review Board