This manual presents 48 visual art activities developed for severely disabled elementary and secondary school students. Brief explanations are presented for several handicapping conditions (cerebral palsy, Down's Syndrome, microcephaly, hydrocephaly, and communication handicaps), and information is given for positioning of students and modifications for students' special needs. Activities fall under the subject categories of line, color, shape, or texture. Each activity is designed to reinforce such developmental areas as: gross and fine motor development; sensory stimulation; cognitive development; and body awareness. Preliminary and closure activities are described as well as the materials and methods needed. Suggested variations are provided for each activity as are activity expectations for level of awareness, level of performance with physical assistance, and level of imitation with verbal or visual cues. Some activities are illustrated with photographs of the completed project. Appendices present: a glossary of art, development, and exceptionality terms; an initial (student) assessment form; and a 16-citation bibliography on arts activities and exceptional children, supplemented with a list of six curriculum guides. (CB)