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Victims in rural and isolated areas often face unique and complex obstacles when leaving abusive situations. Given the difficulties Intimate Partner Violence (IPV) victims commonly encounter, the need to better measure the magnitude of IPV and resulting tangible and intangible costs becomes even more urgent. In this chapter, an extensive literature review examines the prevalence, incidences, needs, and costs of IPV victimization in rural areas. The authors provide a localized study on victimization and rurality in the state of Kansas. The research identifies costs of IPV while providing critical knowledge to the field regarding the availability, accessibility, equity, and effectiveness of the approaches to address IPV in rural communities. In particular, the researchers will address the needs of education and employment, and trauma-informed service in the current study.