On appeal by two daughters of a decision of the Ontario Consent and Capacity Board directing them to consent to withholding medical treatment for their mother, the Court found that the Board had erred in law in its determination as to whether the daughters had complied with the principles for substitute decision making by withholding their consent. The Board also erred in law by ignoring the legislative purpose of the Health Care Consent Act, 1996. Finally, the Board assumed, in the absence of evidence, that the mother’s death would be prompt if there were no further recourse to intensive care.

23. March 2004 0
Administrative law – Decisions of administrative tribunals – Consent and Capacity Board – Capacity – Adult in need of protection – Withholding medical treatment – Substitute decision maker – Power of attorney – Scope of authority – Compliance with legislation – Judicial review – Evidence – Standard of review – Correctness Scardoni v. Hawryluck, [2004] O.J. No. ...

The Respondent (“Starson”) was admitted to hospital after being found not criminally responsible for making death threats, whereupon the Ontario Review Board ordered his detention for 12 months. At that time, Starson refused medical treatment proposed by his psychiatrist for his bipolar disorder. The Consent and Capacity Board of Ontario (the “Board”) held that Starson lacked the capacity to refuse treatment. The Ontario Superior Court overturned the finding of incapacity and the Court of Appeal upheld this finding. The majority of the Supreme Court of Canada dismissed the appeal, finding that the Board misapplied the statutory test for capacity and improperly allowed its own conception of Starson’s best interests to influence its finding. The Board’s finding of incapacity could not be upheld.

26. August 2003 0
Administrative law – Decisions of administrative tribunals – Consent and Capacity Board – Adult in need of protection – Mental health – Substitute decision maker – Right to refuse medical treatment – Capacity – Test – Judicial review – Standard of review – Reasonableness Starson v. Swayze, [2003] S.C.J. No. 33, Supreme Court of Canada, June ...

An appeal by a psychiatric patient (“Sousa”) from the decision of the Consent and Capacity Board, in which they found her incapable in respect of her required treatment for various mental and physical disorders, was dismissed on the basis that the Board’s decision was substantiated by the facts, and no error of fact or law was discerned.

27. May 2003 0
Administrative law – Mental health – Substitute decision maker – Consent to treatment – Consent and Capacity Board – Adult in need of protection Sousa v. Klukach, [2003] O.J. No. 779, Ontario Superior Court of Justice, February 27, 2003, Greer J. Sousa was an involuntary resident of the Clarke Site of the Centre for Addiction and ...