Program evaluation offers an opportunity for improving the implementation and impact of art therapy. This article describes a process and outcomes evaluation of an art therapy program within the mental health services unit of a community-based organization for people living with HIV/AIDS. The aims were to assess utilization patterns and program impact on decreasing depression and improving health-related quality of life among HIV-positive individuals who received art therapy services during a 5-year period (N = 255). Short-term group art therapy services were found to be most frequently utilized. Significant changes in symptoms of depression and mental health--related quality of life were observed in a subsample of clients (n = 25) between baseline and a 6-month follow-up assessment. The findings, which underscore the value of program evaluation, may be useful in improving art therapy services for people living with HIV/AIDS.