Resident-to-resident violence in long-term care is a growing problem. Not only is the health and safety of the nursing home resident impacted, but valuable nursing time is directed away from care of the residents to voluminous paperwork and reporting procedures following an incident. In Arkansas, community resources, including law enforcement, are also impacted by resident-to-resident violence and the laws regulating the reporting of such. Even though there is no FDA approved pharmacological treatment for violent episodes of the elderly, chemical control has been the traditional treatment. Restraint elimination research has shown for many years that behavior can be controlled using non-pharmacological interventions. This systematic review presents a basis for the non-pharmacological treatment of violent episodes in the demented elderly.