Paul E. Trenker

The accused was found not criminally responsible for second-degree murder and breaking and entering.

At his initial disposition hearing before the Ontario Review Board, the hospital and the accused sought a detention order with privileges including indirectly supervised passes into the community.

The Attorney General opposed the indirectly supervised passes.

The Board ordered a detention order but denied the indirectly supervised community passes, finding them premature given the accused's limited insight into his psychotic symptoms, the high risk of relapse, and the short period of observation at the hospital.

The Ontario Review Board held an annual review hearing for an accused found not criminally responsible for uttering threats and failing to comply with probation.

The accused suffers from schizoaffective disorder, substance use disorders, and fetal alcohol spectrum disorder.

The Board found that the accused continues to pose a significant threat to public safety due to cognitive impairment, risk of medication non-compliance, and a history of violence.

The Board ordered the continuation of the detention disposition at the hospital, with the removal of a clause permitting attendance at an indirectly supervised addictions treatment program, as the accused's cognitive issues rendered him unsuitable for such a program.

The Ontario Review Board conducted an annual review of the disposition for an accused found permanently unfit to stand trial on charges of assault and second-degree murder.

The accused suffers from Korsakoff Syndrome and requires one-to-one supervision to manage aggressive behaviours.

The Board accepted the joint submission of the parties and the medical evidence, finding that the accused remains permanently unfit to stand trial and continues to pose a significant threat to public safety.

The Board ordered the continuation of the existing Detention Order at the hospital as the least onerous and least restrictive disposition.

The Ontario Review Board held an annual review hearing for an accused found not criminally responsible for causing a disturbance and related offences.

The accused, diagnosed with schizoaffective disorder and substance use disorder, has a history of decompensating and becoming aggressive when using cannabis.

The Board accepted the expert evidence of the treating psychiatrist that the accused lacks insight into the effects of his cannabis use and remains caught in a cycle of losing privileges due to substance use.

The Board found the accused remains a significant threat to public safety and ordered the continuation of his detention at the hospital with a minor modification to his privileges.

The Ontario Review Board held a hearing to determine whether the accused, who had previously been found unfit to stand trial on charges including assault with a weapon, remained unfit.

Based on the psychiatric evidence of ongoing psychotic symptoms and delusional ideation, the Board found the accused remained unfit to stand trial, though not permanently so.

The Board ordered a Detention Disposition at the hospital, finding it to be the least onerous and restrictive disposition necessary to manage the accused's risk to public safety.

The Ontario Review Board held an annual review hearing for an accused previously found not criminally responsible for various offences.

The accused had been living in the community under a conditional discharge with minimal terms.

The treating psychiatrist testified that the accused had maintained a stable mental status, abstained from substances, and had strong family and professional supports on his First Nation reserve.

The Board applied the Winko test and concluded that the accused no longer posed a significant threat to the safety of the public.

An absolute discharge was granted.

The Ontario Review Board held an annual review hearing for an accused found not criminally responsible for second-degree murder.

The accused had a variable year, including a recent serious incident where he assaulted hospital staff, resulting in seclusion and segregation.

The Board found that the accused remains a significant threat to the safety of the public due to his schizophrenia, severe cognitive limitations, and history of violence.

The Board declined the accused's request to transfer to a hospital in Thunder Bay, citing long waitlists and the need for stabilization.

The Board ordered the continuation of the current detention order disposition without changes.

The Ontario Review Board held an annual review hearing for the accused, who was previously found not criminally responsible for assault and other offences.

The Board found that the accused remains a significant threat to the safety of the public due to his history of substance abuse and risk of relapse, despite maintaining sobriety for the past year.

The Board ordered the continuation of his detention order at the hospital, with a modification to his privileges allowing for indirectly supervised passes of up to 7 days in the community to facilitate his upcoming transition to a supervised group home.

The Ontario Review Board conducted an annual review of the accused's disposition.

The accused, who was found not criminally responsible for aggravated assault, sought a conditional discharge and a transfer to another hospital.

The Board found that the accused continues to represent a significant threat to public safety due to her schizophrenia, substance use history, and lack of insight.

The Board ordered the continuation of her detention at the current hospital, concluding that a transfer would be counterproductive to her rehabilitation and reintegration.

The Ontario Review Board held an annual review hearing for an accused found not criminally responsible for aggravated assault.

The accused, diagnosed with schizophrenia, had been living in a supervised community residence and remained medication compliant.

The Board accepted the joint recommendation of the parties, finding that the accused remained a significant threat to public safety due to his history of severe violence while experiencing command hallucinations and prior medication non-compliance.

The Board ordered the continuation of the current detention order to ensure close monitoring and medication administration.

The Ontario Review Board held a mandatory annual review hearing for an accused found not criminally responsible for criminal harassment and breach of probation.

The accused, who has bipolar disorder and substance use disorders, had previously been readmitted to the hospital after unilaterally stopping his antipsychotic medication.

However, he subsequently stabilized, gained insight into his need for medication, and maintained abstinence from substances.

The Board accepted the joint recommendation of the parties, finding that while the accused remains a significant threat to public safety, a conditional discharge is the necessary and appropriate disposition.

The Ontario Review Board conducted an annual review and a restriction of liberty hearing for an accused found not criminally responsible for assault.

The accused, diagnosed with schizophrenia, had his liberty restricted after failing to take his medication, requiring hospitalization to re-titrate his clozapine dosage.

The Board found that the accused continues to represent a significant threat to the safety of the public and ordered a continued Detention Disposition.

The Board also found that the hospital's restriction of the accused's liberty was warranted, necessary, and appropriate.

The Ontario Review Board conducted an annual review of the disposition for the accused, who was found not guilty by reason of insanity on a charge of sexual assault.

The accused has schizophrenia and a history of physical aggression, though his mobility has recently declined.

The Board accepted the unanimous opinion of the treatment team that the accused continues to pose a significant threat to public safety due to cyclical psychotic symptoms.

The Board ordered a continuation of the Detention Disposition at the North Bay Regional Health Centre to provide necessary support and supervision, while maintaining conditions to assist with future placement in a nursing home.

The Ontario Review Board held a mandatory annual review hearing for the accused, who was found not criminally responsible for assault with a weapon and assaulting a peace officer.

The accused has been living in a transitional rehabilitative housing program and has remained stable, though he continues to struggle with financial difficulties, gambling, and a history of substance abuse.

The Board accepted the joint recommendation of all parties and the hospital that the accused remains a significant threat to public safety.

The Board ordered the continuation of the present disposition, maintaining his detention at the hospital with privileges to live in approved community accommodation.

The Ontario Review Board conducted an annual review of the accused's disposition.

The accused, who was found not criminally responsible for assault, suffers from severe Schizoaffective Disorder and continues to experience psychotic symptoms, including command hallucinations.

She has a history of violence and non-compliance with treatment, and currently lacks insight into her illness.

The Board found that she continues to pose a significant threat to public safety.

Due to a therapeutic impasse at her current hospital, the Board ordered her transfer to the Centre for Addiction and Mental Health (CAMH), maintaining her detention order pending the transfer.

The Ontario Review Board held a mandatory annual review hearing for an accused found not criminally responsible for assault and weapons offences in 2009.

The accused, diagnosed with an unspecified schizophrenia spectrum disorder and substance use disorder, had made significant progress in the past year despite a history of elopement and substance use.

The Board concluded that the accused continues to represent a significant threat to public safety.

The Board ordered the maintenance of the current disposition with the addition of a community living condition to facilitate future placement in highly supervised accommodation.

The Ontario Review Board held a mandatory annual hearing for the accused, who was found not criminally responsible for arson and breach of probation.

The hospital and all parties recommended continuing the current disposition, which detains the accused at the hospital but grants privileges to live in supervised community accommodation.

The Board found that the accused continues to pose a significant threat to public safety due to schizophrenia, a history of substance abuse, and the risk of medication non-compliance.

The Board ordered the continuation of the current disposition to ensure adequate support and supervision as the accused transitions to more independent living.

The Ontario Review Board held a mandatory review hearing for the accused, who was previously found not criminally responsible for robbery and theft.

The accused suffers from schizophrenia and methamphetamine use disorder.

The Board found that the accused continues to represent a significant threat to the safety of the public due to ongoing symptoms, history of noncompliance, and recent elopement from the hospital.

The Board ordered the continuation of the current detention order, with the addition of a privilege allowing for residence in a 24/7 supervised community accommodation within the hospital's catchment area.

The Ontario Review Board held an annual review hearing for the accused, who was previously found not criminally responsible for possession of a weapon for a dangerous purpose.

The accused has diagnoses of schizophrenia, substance use disorder, and borderline personality disorder.

The Board found that the accused continues to represent a significant threat to the safety of the public due to the risk of medication non-adherence and substance relapse without structured support.

The Board ordered the continuation of the current discharge on conditions, with the removal of the condition requiring the accused to accept treatment on consent.

The Ontario Review Board held an annual hearing for an accused previously found not criminally responsible for assault and mischief.

The accused, who was self-represented, chose not to attend the hearing.

The Board proceeded in his absence, noting the appointment of amicus curiae to safeguard his interests.

Relying on psychiatric evidence that the accused suffers from schizophrenia, lacks insight, and poses a moderate risk of future violence, the Board found he continues to pose a significant threat to public safety.

The Board ordered the continuation of his detention at the forensic psychiatric hospital.