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Table 2 Active ingredients identified for normalization

From: Supporting mental health service users to stop smoking: findings from a process evaluation of the implementation of smokefree policies into two mental health trusts

Coherence Cognitive participation Collective Action Reflexive monitoring
Senior support
Effective leadership
Decision-making sub-groups with sufficient authority
Inclusive and solution-based approach
Open communication channels
Continual resourcing
Creation of a basis of understanding    
Effective champion(s) operating    
Positive non-smoking discourse    
Thorough preparation   
  Initial and ongoing skills training
   Perseverance in enacting the policies
    Ongoing review of systems and processes
    Monitoring smoking-related incidents
    Feedback of ‘wins’ from implementation process to staff and patients