This study explores staff perceptions of the organizational and behavioral conditions required to normalize SDM within CIP processes in Sweden. Three focus group interviews were conducted with mental health and social care staff in three sites. Data were analyzed qualitatively, using constructs from Normalization Process Theory. Largely, there was shared validation of SDM-CIP, indicating high coherence. Generally, commitment was expressed to strengthen the conditions for implementation (reflecting the construct cognitive participation), by challenging attitudes and establishing effective roles. Inadequate infrastructure limited conditions for collective action for realizing SDM-CIP. The findings highlight a need for cross-organizational staff training and supportive infrastructure.