The ORB is an independent tribunal whose responsibility is to review the status of all individuals found unfit to stand trial or not criminally responsible (NCR) and determine whether the individual continues to present significant risk to the public. The ORB hands down a disposition following an annual hearing that includes the required level of security and the outer limits of an individual's privileges. Information and recommendations presented by the forensic team assist the ORB in making their determination.
The ORB is comprised of a five person panel. The chair is a retired judge or senior lawyer and members include at least one psychiatrist, one lawyer, one individual licensed to practice either psychology or medicine and one lay person. Appointments to, and administration of the Review Boards is a provincial responsibility.