Valerie Dawn Culp

The accused, previously found not criminally responsible for attempted murder and aggravated assault, appeared before the Ontario Review Board for an annual disposition hearing.

The accused sought an absolute discharge, while the hospital and Crown recommended continuing the current detention order with community living privileges.

The Board applied the Winko framework and found that the accused continues to pose a significant threat to public safety due to chronic schizophrenia, ongoing symptoms of psychosis, limited insight, and a history of substance use exacerbating his risk.

The Board ordered the continuation of the detention order, finding that a conditional or absolute discharge would not adequately protect the public.

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

The accused, previously found not criminally responsible for sexual assault, sought a conditional discharge.

The hospital and the Attorney General recommended continuing the detention order.

Relying on uncontroverted expert psychiatric evidence, the Board found that the accused remains a significant threat to public safety due to a treatment-refractory psychotic disorder, limited insight, and a high risk of rapid decompensation if non-adherent to medication or if using substances.

The Board concluded that a detention order with supervised housing remains the necessary and appropriate disposition.

The Ontario Review Board conducted a mandatory annual review for an accused found not criminally responsible for arson.

The accused, who suffers from treatment-resistant schizophrenia, had a challenging year marked by medication non-compliance, an unauthorized leave of absence, and worsening psychosis.

The Board accepted the hospital's recommendation, finding that the accused continues to pose a significant threat to public safety.

The Board concluded that a continuation of the detention order at the Centre for Addiction and Mental Health is the least onerous and least restrictive disposition necessary to protect the public.

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 first-degree murder.

The accused, who has schizophrenia, had been living independently in the community under a conditional discharge.

The clinical team reported that he remained stable, compliant with his medication, and had not engaged in any violence.

The Board found that the accused continues to pose a significant threat to public safety but agreed with the joint submission to continue the conditional discharge with loosened conditions, including the removal of the absolute abstinence and weapons prohibition conditions.

The accused was found not criminally responsible (NCR) on charges including sexual assault and sexual interference.

The Ontario Review Board held an initial disposition hearing to determine whether the accused posed a significant threat to public safety.

Relying on expert psychiatric evidence, the Board found that the accused's history of medication non-compliance, substance use, and resulting psychosis posed a real and foreseeable risk of serious harm.

The Board concluded the accused remains a significant threat and ordered a detention order with conditions, including community living subject to hospital approval, to ensure adequate supervision and rapid intervention if decompensation occurs.

The accused, previously found not criminally responsible for aggravated assault due to schizophrenia, was reviewed by the Ontario Review Board.

The Board proceeded in the accused's absence.

Based on the joint position of the parties and the hospital's evidence, the Board found that the accused continues to pose a significant threat to public safety.

The Board ordered that the accused remain detained at the General Forensic Service at CAMH, with privileges up to residing in approved community accommodation, as the least onerous and least restrictive disposition.

The Ontario Review Board held a disposition hearing for an accused found not criminally responsible for weapons and assault offences.

The hospital recommended a Detention Order with community living provisions but opposed international travel passes sought by the accused.

The Board found the accused remained a significant threat to public safety due to his schizophrenia, lack of insight, and history of sexually inappropriate and aggressive behaviour.

The Board ordered a Detention Order with community living provisions but denied the travel passes as premature.

The Ontario Review Board conducted an annual review of the disposition for an accused found not criminally responsible for violent offences due to schizophrenia.

The Board accepted the uncontroverted expert evidence of the attending psychiatrist that the accused has made significant progress in insight and medication compliance but remains a significant threat to public safety.

The Board ordered a Conditional Discharge as the necessary and appropriate disposition.

The accused was found not criminally responsible for aggravated assault and referred to the Ontario Review Board.

The Board held an initial disposition hearing to determine if the accused posed a significant threat to public safety.

Relying on expert psychiatric evidence, the Board found that the accused's history of violence, schizophrenia, and substance use disorders rendered him a significant threat, particularly given his stated intention to resume substance use.

The Board ordered a Detention Order at the hospital with conditions including abstention from substances and a no-contact order with the victim.

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

Based on the hospital report and the testimony of the treating psychiatrist, the Board found that the accused's psychotic symptoms had stabilized with medication and that he was able to understand the nature and object of court proceedings.

The Board concluded that the accused is currently fit to stand trial and ordered him returned to court for a fitness hearing.

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

The accused, diagnosed with schizoaffective disorder, had been progressing well until a recent alleged assault on another patient resulted in the suspension of his passes.

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

The joint submission to maintain the current disposition was accepted, and the accused's request for travel passes to the UK and Saudi Arabia was denied as premature.

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 accused, previously found not criminally responsible for aggravated assault, appeared before the Ontario Review Board for an annual disposition review.

The accused has schizophrenia and a substance use disorder, and continues to use cannabis despite a mandatory abstention clause.

The Board accepted the joint position that the accused remains a significant threat to public safety.

The Board ordered continued detention at the General Forensic Service at CAMH with privileges up to community living in approved accommodation.

The Board amended the reporting requirement to not less than every two weeks, but maintained the absolute abstention clause for non-medical drugs and alcohol.

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

The accused, diagnosed with schizophrenia and substance use disorders, had made significant progress over the reporting year, including maintaining employment, medication compliance, and abstinence from substances.

However, the clinical team recommended continued detention due to the risk of relapse and subsequent violence if left unsupervised.

The Board accepted the joint position of the parties, finding the accused remains a significant threat to public safety, and ordered his continued detention at the hospital with privileges up to living in approved community accommodation.

The Ontario Review Board held an early hearing requested by the Hospital due to the accused's impending eviction from community housing.

The accused, previously found not criminally responsible for various offences including assault with a weapon, has diagnoses of schizophrenia, substance use disorder, and anti-social personality disorder.

Despite mental stability and no recent violence, the accused repeatedly breached housing rules, risking homelessness.

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

The Board ordered detention at the Hospital on existing conditions, which include permission to live in approved community housing and an exception allowing cannabis use, while recommending intensive drug intervention and behavioural therapies.

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

The accused, diagnosed with schizoaffective disorder, had made significant progress over the reporting year, maintaining stability in high-support community housing and complying with treatment.

The Board accepted the joint position of the parties and the evidence of the treating psychiatrist that the accused remained a significant threat to public safety but no longer required a detention order.

The Board ordered a conditional discharge with conditions including residence at the approved high-support housing.

The accused, previously found not criminally responsible for second-degree murder and aggravated assault, appeared before the Ontario Review Board for an annual review.

He sought an absolute discharge, while the Hospital and Crown sought to maintain his conditional discharge.

The Board found that despite his progress and stable housing, his core paranoid delusions remained intractable and he lacked insight into his illness.

Given his stated plan to stop taking medication and move to Jamaica if granted an absolute discharge, the Board concluded he remained a significant threat to public safety.

The conditional discharge was maintained.

The accused, previously found not criminally responsible for criminal harassment and failing to comply with court orders, was subject to a mandatory annual review by the Ontario Review Board.

The accused suffers from schizoaffective disorder and experiences erotomanic delusions, leading to stalking behaviours.

The Board found that the accused continues to represent a significant threat to the safety of the public due to her treatment-resistant psychotic illness and risk of decompensation without strict supervision.

The Board ordered a continuation of the current detention order at the hospital, concluding that a less restrictive disposition or reliance on the Mental Health Act would be inadequate to manage the risk.

The Ontario Review Board held a hearing to review the restriction of liberty of an accused found not criminally responsible, following his transfer to a secure forensic unit.

The transfer occurred after the accused assaulted a co-patient, triggering a Code White.

The Board found that the accused's escalating oppositional behaviour, substance use, and risk of aggression necessitated the transfer.

The Board concluded that the significant increase in the restriction of liberty was necessary, appropriate, and represented the least onerous and least restrictive measure to manage the risk to the safety of other patients and staff.