The accused was charged with assault causing bodily harm and previously found unfit to stand trial.
At her initial Ontario Review Board hearing, the Board considered whether she had become fit.
Relying on the evidence of her treating psychiatrist and the accused's own testimony, the Board found she remained actively psychotic with complex delusions, including the belief that she is a 'Crown Empress' immune from prosecution.
Applying the Supreme Court's test in Bharwani, the Board concluded her delusions prevented a reality-based understanding of the proceedings.
The accused was found unfit to stand trial and a detention order at the Centre for Addiction and Mental Health was issued to manage her risk and provide ongoing treatment.