Ghana Somubi Dwumadie (Ghana Participation Programme) is a four-year disability programme in Ghana, with a specific focus on mental health. The purpose of this learning product is to deepen understanding and build knowledge amongst Organisations of Persons with Disabilities, civil society, implementing partners, and government stakeholders on how user-led and policy level approaches can complement each other. It is shares promising practices for adaptation and lessons drawn from implementing complementary user-led and policy level strategies. These lessons indicate how combining these approaches can bring issues to life, help build consensus, and help to establish the conditions for sustainable change.