Working with patients with physical agitation is one of the greatest challenges in brain injury rehabilitation. Caregivers are often unprepared to handle physical confrontations with patients. Nonviolent Crisis Intervention, created by the Crisis Prevention Institute, is one of the most well-known commercial agitation management programs in the U.S., U.K., and Australia. Control of the environment of the patient with brain injury is a fundamental step in managing agitation. Overstimulation is a common trigger for agitated and aggressive behavior. Patients who strike without warning can pose a significant safety hazard to the caregiver. Allowing the patient with brain injury to ambulate is important for gait training and reducing agitation from akathisia.