'We desperately need some help here'--The experience of legal experts with sexual assault and evidence collection in rural communities.

INTRODUCTION Approximately 30% of people in rural communities report a sexual assault within their lifetime. The medico-legal response to a report of sexual assault may leave a significant impact on the victim. The purpose of this article is to examine the experiences of legal providers from rural communities, who assist victims of sexual assault. METHODS A sample of expert participants were interviewed and included seven commonwealth attorneys (the state prosecuting attorneys in Virginia), six sheriffs or police investigators, and five victim-witness advocates, all from rural areas of Virginia. Qualitative data were collected by in-person interviews with a hermeneutic-phenomenological format. RESULTS The experts interviewed described prosecution difficulties related to evidence collection and unrealistic jury expectations. These legal experts also shared frustrations with limitations in local services and limitations in the experiences of local sexual assault nurse examiners. CONCLUSIONS This study provides a context for understanding the rural medico-legal response to sexual assault and for the importance of the role of the sexual assault nurse examiner to rural populations. Interdisciplinary collaboration is key to improving prosecution outcomes as well as victim support after reporting.