Sarah Rosales Zelaya

The accused was previously found unfit to stand trial on various charges and detained at CAMH.

At the initial disposition hearing before the Ontario Review Board, the hospital, the Attorney General, and amicus curiae all agreed that the accused was presently fit to stand trial.

Relying on the evidence of the treating physician, the Board found the accused fit to stand trial and directed that she be returned to court for a fitness hearing, without making a Keep Fit Order.

The accused, who was previously found not criminally responsible for arson, was detained at the Centre for Addiction and Mental Health.

Her liberty was restricted when she was admitted as an inpatient due to severe psychiatric decompensation and medication non-compliance.

The Ontario Review Board held a hearing to review the restriction of liberty.

The Board concluded that the restriction was justified, necessary, and the least onerous option available to ensure public safety and address the accused's mental health needs.

The accused was subsequently stabilized and discharged back to the community.

The Ontario Review Board held an annual hearing for the accused, who was previously found not criminally responsible for murder due to schizophrenia.

The accused had been living independently in the community without incident since 2021 and demonstrated sustained remission of symptoms, strong insight, and strict medication compliance.

The hospital and the accused sought an absolute discharge, and the Crown did not oppose.

The Board concluded that the accused no longer posed a significant threat to public safety and granted an absolute discharge.

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

The accused has diagnoses of schizophrenia and cannabis use disorder.

All parties jointly submitted that the accused continues to represent a significant threat to public safety and that the current Detention Order should be continued.

The Board accepted the joint submission, finding that the accused's history of violence linked to psychotic decompensation, exacerbated by substance use, required the structure and oversight of a hospital setting.

The Detention Disposition was continued.

The Ontario Review Board held a hearing to review the restriction of liberty of the accused, who had previously been found not criminally responsible for attempted murder and aggravated assault.

The accused's liberty was restricted when he was readmitted to the hospital after testing positive for cannabis, deteriorating compliance with community supervision, and exhibiting aggressive behaviour.

The Board accepted the joint submission of the parties that the restriction of liberty from February 19, 2026, to March 10, 2026, was justified, necessary, and represented the least onerous and least restrictive option available to the hospital.

The Ontario Review Board held a mandatory annual review of the accused's disposition under s. 672.81(1) of the Criminal Code.

The accused, who was found NCR for second-degree murder and aggravated assault, has diagnoses of schizophrenia and polysubstance use disorder.

The Board accepted the joint submission of the parties, supported by the treating psychiatrist's evidence, that the accused continues to pose a significant threat to public safety but has made positive progress in community living.

The Board ordered that the existing detention order be continued with a variation to reduce reporting requirements to not less than once every two weeks.

The accused, previously found unfit to stand trial on charges including assault and obstructing a peace officer, appeared before the Ontario Review Board for a fitness hearing.

Following treatment with antipsychotic medications at the hospital, her mental status significantly improved.

Based on the joint submission of the parties and the psychiatric evidence, the Board found the accused fit to stand trial and remitted her matter back to court for adjudication.

The Ontario Review Board held a hearing to review two restrictions of liberty imposed on the accused by the hospital: placement in locked seclusion and transfer to a Secure Forensic Unit.

The restrictions followed a code white incident where the accused became agitated, threatening, and refused medication.

The Board found that both the initial placement in seclusion and the transfer to the Secure Forensic Unit were warranted.

The Board accepted the hospital's evidence that the accused's ongoing detention in the Secure Forensic Unit remains the least onerous and least restrictive decision consistent with public safety.

The accused was found not criminally responsible for arson and assault causing bodily harm.

At the initial disposition hearing, the Ontario Review Board considered whether the accused posed a significant threat to public safety.

Relying on uncontroverted expert evidence, the Board found that the accused's schizophrenia, substance use disorder, limited insight, and uncertain housing situation contributed to a moderate risk of violent re-offending.

The Board concluded that the accused represents a significant threat and ordered a Detention Order with conditions, permitting community living in approved accommodation.

The accused was found not criminally responsible for aggravated assault in 2023 and was detained at CAMH.

At his annual Review Board hearing, the evidence demonstrated that he had stabilized on antipsychotic medication, remained abstinent from substances, and engaged well with programming, although his insight into his illness remained limited.

The Board found that while he continues to pose a significant threat to public safety, a detention order is no longer necessary.

A conditional discharge was granted, requiring ongoing psychiatric follow-up and medication adherence.

The Ontario Review Board held an annual review hearing for an accused found not criminally responsible for assault and assault causing bodily harm.

The accused, diagnosed with schizophrenia, continued to experience residual psychosis despite medication adherence.

The Board accepted the joint submission of the parties, finding that the accused continues to represent a significant threat to the safety of the public.

A detention order at the Centre for Addiction and Mental Health was ordered, with privileges up to and including community living, as the least onerous and least restrictive disposition.

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

The accused has diagnoses of schizophrenia and cannabis use disorder.

Despite periods of stability, the accused recently decompensated due to cannabis use, requiring readmission to the hospital.

Relying on uncontroverted expert psychiatric evidence, the Board found that the accused continues to pose a significant threat to public safety.

The Board ordered a continuation of the Detention Order on a General Forensic Unit.

The Ontario Review Board conducted an annual review hearing for an accused found not criminally responsible for two counts of attempted murder.

The accused, who suffers from Bipolar 1 disorder, sought an absolute discharge, citing 10 months of medication compliance and stability in the community.

The hospital and the Crown recommended continuing the conditional discharge.

The Board accepted the hospital psychiatrist's evidence that the accused lacks insight into his illness and remains a significant threat to public safety.

The conditional discharge was continued.

The appellant appealed a decision of the Consent and Capacity Board confirming their treating psychiatrist's finding that they were incapable of consenting to treatment with antipsychotic medication and electroconvulsive therapy.

The appellant, who suffers from treatment-refractory schizophrenia, experienced somatic delusions, including a belief that they were pregnant and that the treatments would harm their babies.

The Superior Court of Justice found no palpable and overriding error in the Board's conclusion that the appellant's inability to recognize they were affected by the manifestations of a mental illness rendered them unable to appreciate the reasonably foreseeable consequences of a treatment decision.

The appeal was dismissed.

The Ontario Review Board held a Restriction of Liberty hearing after the accused, who had been living in the community under an approved accommodation, was returned to the hospital due to behavioural disturbances and substance use.

The hospital, the Attorney General, and the accused all agreed that the return to the hospital was warranted and represented the least onerous and least restrictive decision available.

The Board accepted the evidence and confirmed the hospital's decision to detain the accused.

The Ontario Review Board held a Restriction of Liberty hearing for an accused previously found not criminally responsible.

The accused had lost his community housing due to repeated rule infractions and was readmitted to the hospital.

The Board accepted a joint submission that the restriction of liberty was necessary, appropriate, and the least onerous measure available given the accused's homelessness and need for supervision.

The current disposition was maintained.

The Ontario Review Board conducted an annual review of the disposition for an accused found not criminally responsible for arson and weapons offences.

The accused, diagnosed with schizophrenia, substance use disorders, and borderline personality disorder, sought a transfer from CAMH to the Royal Ottawa Mental Health Centre to be closer to family.

The Board found that the accused remains a significant threat to public safety due to ongoing psychotic symptoms, severe behavioural dysregulation, and recent incidents of violence and elopement.

The Board concluded that a transfer was premature, as the accused requires the intensive support, seclusion facilities, and specialized therapy available at CAMH, and must first successfully complete a trial on a mixed-gender unit.

The current detention order was continued.

The Ontario Review Board held a mandatory annual hearing for an accused found not criminally responsible for aggravated assault due to a cannabis-induced psychotic disorder.

The accused's treating psychiatrist testified that the accused remains a significant threat to public safety, lacking full insight into the risks of resuming cannabis use without antipsychotic medication.

The Board accepted this evidence, finding that the accused requires supervision and supported accommodation.

The Board ordered the continuation of the detention order with expanded community privileges to include the Greater Toronto Area to assist with discharge planning.

The Ontario Review Board conducted an annual review of the disposition for an accused found not criminally responsible for assault and weapons offences.

The accused, diagnosed with bipolar affective disorder, had maintained stability and compliance with treatment over the past year.

The hospital recommended a conditional discharge with travel restrictions, which was supported by all parties.

The Board found that the accused continues to pose a significant threat to the safety of the public, but that this risk can now be adequately managed in the community.

A conditional discharge was ordered, including conditions to report monthly, abstain from substances, and obtain approval for travel outside Ontario.

The Ontario Review Board held an annual review hearing for an accused found not criminally responsible for uttering death threats and assault with a weapon.

The accused, diagnosed with schizophrenia, continues to experience residual symptoms and lacks insight into his illness.

The Board found that the accused continues to pose a significant threat to the safety of the public.

The Board ordered the maintenance of the current disposition, detaining the accused at the hospital with privileges up to and including living in the community in 24-hour supervised accommodation.