The purpose of this qualitative descriptive study was to explore K-12 administrators' descriptions of their instructional leadership of teachers serving students with severe disabilities in North Carolina. The principal instructional leadership framework, leader's framework for supporting new special educators, and self-efficacy theory were used to support this study. Three research questions were addressed in this study: how do K-12 administrators describe their instructional leadership practice of managing the instructional program to support teachers serving students with severe disabilities; descriptions of their instructional leadership practice of defining the school mission and vision for success to support teachers serving students with severe disabilities; and descriptions of their instructional leadership practice of developing a positive school learning climate to support teachers serving students with severe disabilities. Thematic analysis identified consistent patterns in the responses of participants. Research question one themes: lack of training and background in special education, locating and providing coaching and curriculum resources, actions taken to support instruction, and data-driven decision making. Research question two themes: representation in the development of the mission and vision, ensuring collaboration, and supporting the growth and improvement of teachers and students. Research question three themes: actions taken to support and model school mission, setting expectations for alternate achievement students, and non-academic focus for alternate achievement students. Limitations include the small sample size. Future studies could focus on observation tools specific to alternate achievement standards. [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.]