Dr. Cora Salvino responded to the emergency department of Gwinnett Hospital to treat a patient who was violently raped and beaten. Dr. Salvino requested a hospital volunteer, Ann Smiley, stay with the victim until admission was completed. Upon learning that no rape crisis services existed in the community, Ms. Smiley set out to change the conditions, practices, and standards of care for persons victimized by crimes of sexual assault.