The problem addressed in this study was that students with mental health disabilities experience poor academic outcomes despite opportunities for academic accommodations. The purpose of the study was to explore how students with mental health disabilities perceived their experiences of being accommodated at an art and design university. Bronfenbrenner's ecological theory provided the theoretical framework for this qualitative descriptive study. Individual semi-structured interviews were conducted with a purposive sample of 9 participants registered with the university's disabilities office. The data from the interviews and accommodation letters, subjected to thematic and content analysis, resulted in five themes. Theme 1 was "disability-related factors interfere with effectively implementing student accommodations." Theme 2 was "recommendations and previous experiences contribute to the decision to seek accommodations," while Theme 3 was "students with mental health disabilities have individualized experiences obtaining accommodations." Theme 4 was "students describe a wide variety of responses from professors regarding their accommodations ranging from helpful to not understanding," and Theme 5 was "accommodations are difficult to implement in the studio setting, yet students perceive aspects related to specific accommodations as useful in their art and design institution setting." Research revealed that the studio environment requires effort and creativity to accommodate students effectively, and that students routinely encounter negative interactions in implementing accommodations. The difficulty implementing accommodations in the studio environment should be addressed by collaboration between faculty and disability resource professionals. Training should be conducted for an improved student-professor experience, and sources of referral recommendations be systematically tracked. Future research at similar institutions should include similar qualitative studies, including referrals for accommodations. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]