This article presents qualitative research that further defines community art therapy and provides practice approaches of art therapy practitioners who work in community contexts. The researcher collected data through interviews with 32 art therapy practitioners working in community programs in 36 countries. Interviews were transcribed, coded, and analyzed to develop grounded theory and a model of community art therapy practice. Results were consistent with community art therapy endeavors in art therapy literature. The study identified clear practice approaches such as ethical considerations, inclusivity, justice-orientation, theoretically expansive, egalitarian, and nervous system regulation. Art therapists can use the definition and practice approaches presented here to guide their practice in communities.