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R. v. CONWAY - British Columbia Review Board

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paramount concern, an NCR patient’s liberty interest has been held to be the <strong>Board</strong>’s “major<br />

preoccupation” within the fence posts staked by public safety (Pinet v. St. Thomas Psychiatric<br />

Hospital, 2004 SCC 21, [2004] 1 S.C.R. 528, at para. 19). The <strong>Board</strong> fulfills its “primary purpose”<br />

therefore by protecting the public while minimizing incursions on patients’ liberty and treating<br />

patients fairly (Mazzei, at para. 32; Winko, at paras. 64-71; Penetanguishene, at para. 51).<br />

[89] Section 672.54 of the Criminal Code sets out the remedial jurisdiction of review<br />

boards, stating:<br />

Where a court or <strong>Review</strong> <strong>Board</strong> makes a disposition under subsection 672.45(2) or<br />

section 672.47 or 672.83, it shall, taking into consideration the need to protect the public<br />

from dangerous persons, the mental condition of the accused, the reintegration of the<br />

accused into society and the other needs of the accused, make one of the following<br />

dispositions that is the least onerous and least restrictive to the accused:<br />

(a) where a verdict of not criminally responsible on account of mental disorder has been<br />

rendered in respect of the accused and, in the opinion of the court or <strong>Review</strong> <strong>Board</strong>,<br />

the accused is not a significant threat to the safety of the public, by order, direct that<br />

the accused be discharged absolutely;<br />

(b) by order, direct that the accused be discharged subject to such conditions as the<br />

court or <strong>Review</strong> <strong>Board</strong> considers appropriate; or<br />

(c) by order, direct that the accused be detained in custody in a hospital, subject to such<br />

conditions as the court or <strong>Review</strong> <strong>Board</strong> considers appropriate.<br />

Accordingly, at a disposition hearing regarding an NCR patient, the Ontario <strong>Review</strong> <strong>Board</strong> is<br />

authorized to make one of three dispositions: an absolute discharge, a conditional discharge or a<br />

detention order. When making its disposition, the <strong>Board</strong> must consider the four statutory criteria:

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