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Forensic mental health nurses working in bed\u2010based prison mental health units could benefit from having a model to assist conflict and containment reduction in their unique context. The aim of this study was to develop a version of Safewards for bed\u2010based prison mental health nurses. A literature review was conducted to identify relevant features of bed\u2010based prison mental health units including flashpoints, and staff and consumer modifiers. A summary of the review was presented to participants prior to a Nominal Group Technique (NGT) with nurses and other disciplines (working in bed\u2010based prison mental health units) (<jats:italic>n<\/jats:italic>\u2009=\u200912). The NGT was used to elicit feedback about the proposed model and achieve agreement on several questions related to the proposed version. Data collected were analysed thematically. Two themes were interpreted: (1) \u2018Square peg, round hole\u2019: the stark difference between custodial and Forensic Mental Health staff values and aims; and (2) nothing can happen without custodial staff support. Consensus was reached on all suggested changes\/additions to the model. Findings support the need for an adapted version of Safewards (Safewards Secure\u2010Custodial Mental Health) to assist nurses working in this setting. However, modifiers for custodial staff require development and collaboration with Correctional services will also be essential for successful implementation in this setting.<\/jats:p>","DOI":"10.1111\/inm.70036","type":"journal-article","created":{"date-parts":[[2025,5,10]],"date-time":"2025-05-10T03:01:41Z","timestamp":1746846101000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Developing Safewards Secure for Mental Health Prison Units Using a Nominal Group Technique"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1050-6094","authenticated-orcid":false,"given":"Tessa","family":"Maguire","sequence":"first","affiliation":[{"name":"Centre for Forensic Behavioural Science Swinburne University of Technology  Melbourne Victoria Australia"},{"name":"The Victorian Institute of Forensic Mental Health (Forensicare)  Melbourne Victoria Australia"},{"name":"Institute Health and 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