The purpose of this study was to observe and implement strategies and adaptations in an arts program for adults with atypical communication due to developmental and intellectual disabilities. This study was conducted in the field using an action research approach with triangulated methods of data collection including semi-structured interviews, participant observations, and artwork analysis. While research was conducted in two different art programs with similar populations, the main site of study was at SpArc Service's Cultural Arts Center located in Philadelphia, Pennsylvania. The secondary site was at Center for Creative Works located in Wynnewood, Pennsylvania. The data collected between these sites produced common trends in strategies and adaptations that are used in the art room. Individual case studies conducted at SpArc Services allowed strategies to be implemented and documented in the art room. When implementing these findings, I saw how these strategies supported the participant's goals as outlined in their Individual Outcome Summary. While working with the individual participants, areas of art making included textiles, mixed-media materials, and pop culture references. The following are appended: (1) Recruitment Letter; (2) Consent Form; (3) Assent Form; (4) Participant Bill of Rights; (5) Observation Form; (6) Semi-Structured Interview Form; and (7) Staff Questionnaire.