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Jamie Sarkonak: No one knows who this mental patient is. They were put on cross-gender drugs anyway

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Jamie Sarkonak: No one knows who this mental patient is. They were put on cross-gender drugs anyway

Though this person was found not criminally responsible for assault, officials aren't even sure if they're a Canadian citizen

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Housed in the Women’s General Forensic Unit of Toronto’s Centre for Addiction and Mental Health (CAMH) is a male inpatient, detained there for committing violent acts. This individual identifies as transgender and is receiving hormone treatments, but their identity is a mystery.

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It seems that it’s not just prisons that are struggling with preserving female spaces — it’s also the psych wards.

Jamie Sarkonak: No one knows who this mental patient is. They were put on cross-gender drugs anyway Back to video

In this case, “Camilla Shapiro,” a homeless person in Toronto, ended up at CAMH after being found not criminally responsible for assault (slapping someone outside the Eaton Centre so hard they fell to the ground) and assault causing bodily harm (shoving another homeless person’s face into the ground, causing them to lose teeth, in retaliation for an assault) in September 2024.

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There is no reliable information about this person’s parents, siblings, childhood, nationality, birthdate, or anything else that might clear up who they truly are. Canadian medical records date back to an emergency room visit in 2021, the first of many. Shapiro claims to be from Indiana and to have received psychiatric care there, but had not authorized the release of any information about that to Canadian caretakers in time for their hearings at Ontario’s mental health review board earlier this year.

Consent has since been secured, but whether that will yield fruit is questionable. According to the March 10 decision rejecting the patient’s release, Shapiro is not a reliable narrator, and “remains ambivalent about accepting assistance from the team with obtaining personal identification documents to pursue an application for immigration status in Canada.”

Shapiro’s stories are spectacular and grandiose. For one, this person claims to have escaped from a cult.

“She maintained a belief that she was kidnapped as an infant and that this group was responsible for a surgical ‘sex change’ when she was approximately two years old, stating that a penis had been implanted surgically,” noted the hospital in a report to Ontario’s mental health review board. Shapiro is a biological male.

“She vaguely recalled her biological father attempting to retrieve her but being turned away by the alleged cult. She reported no direct memories of her biological parents, whom she described as famous individuals, identifying her father as Colson James Baker (a well-known singer) and her mother as Liana Ren Shapiro (a model), and stated that her father was wealthy and owned multiple properties in Los Angeles.”

Shapiro has delusions about having a uterus and insists that this was confirmed with a pelvic ultrasound. Doctors list schizophrenia and borderline personality disorder as potential diagnoses.

This is a person who is not in contact with reality, who might not even be Canadian. Nevertheless, the hospital reported to the Ontario Review Board that Shapiro is receiving estrogen for gender-affirmation reasons. Surgery seems to be where doctors draw the line.

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“Ms. Shapiro expresses a wish to pursue gender-affirming surgery for removal of her penis,” reads the hospital’s assessment, quoted by the Ontario Review Board. “However, presently, it is not clear whether she meets the diagnostic criteria for gender dysphoria, given her ongoing psychotic symptoms and disorganization when discussing this topic.” This will be re-evaluated when Shapiro’s psychotic symptoms have been treated.

It’s well-known that biologically male criminals are being held in women’s prisons. The fate of transgender individuals too mentally ill to be found guilty of their criminal acts has been less certain — until just recently. The Ontario Review Board’s decisions about Shapiro reveal a four-day stay in the CAMH Women’s Secure Forensic Unit, and a much longer stay in the Women’s General Forensic Unit, starting on Nov. 15, 2024.

According to these records, Shapiro has been punched by another co-patient and suffered one instance of hair-pulling, but has not returned the violence. That said, doctors have assessed that Shapiro “continues to pose a significant threat to the safety of the public” due to a violent past and the likelihood of violence if psychosis is ever to return. On March 10, the Ontario Review Board decided against their release.

In a statement to the Post on Wednesday, a CAMH spokesperson said that patient placement is determined by “unique clinical care needs” of the individual, and that the “team remains mindful of safety.” They would not answer how many male patients were kept in the women’s unit in 2025 for privacy reasons.

Another decision by the Ontario Review Board from January refused the transfer of Artour (Anne) Sabouloua from CAMH to an Ottawa hospital. Sabouloua also identifies as transgender and, despite being a biological male, was housed in the Women’s Secure Forensic Unit and, from February 2025 to August 2025, the Women’s General Forensic Unit, and has been back in the secure unit since.

Sabouloua, at least, has a known identity, having immigrated to Canada from Russia at age nine. By 15, they began identifying as a woman and began suffering from paranoia and hallucinations by their 20s. Compounding these conditions was drug use and prostitution. In 2018, these behaviours culminated in setting a motel room on fire and later shooting a pellet gun at a random parked vehicle. Sabouloua was found not criminally responsible in 2020 and has been at CAMH ever since, receiving treatment for schizophrenia and borderline personality disorder — as well as estrogen injections.

There, Sabouloua has been characterized as violent and threatening, and on multiple occasions has put “staff and co-patients and police officers at risk.” This includes one threat to murder a co-patient, and another instance in which they knocked a co-patient “to the ground and repeatedly kicked her.”

These two cases alone show that it’s not just prisons that need female-only spaces: it’s also the psych wards. And while we’re at it, it seems that we also need a rule against injecting schizophrenic homeless people with hormones and contemplating the removal of their genitals.

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