Our Mission

St. James Infirmary is a peer-based occupational health and safety clinic for sex workers and their families. We exist to provide free, compassionate, and non-judgmental healthcare and social services for Sex Workers (current or former) of all genders and sexual orientations while preventing occupational illnesses and injuries through a comprehensive continuum of services.

What We Believe

There are many factors which affect the working conditions and experiences for all Sex Workers including the political and economic climate, poverty and homelessness, stigmatization, violence, as well as the overwhelming intricacies of the legal, public and social systems. It is the philosophy of St. James Infirmary to build upon existing skills and strengths in order to allow individuals to determine their own goals.

  • We are fundamentally against the criminalizing of Sex Workers—regardless of our different perspectives on decriminalization or legalization, the collective view of the St. James Infirmary is that incarceration of our community further marginalizes and disenfranchised us, which creates barriers to capacity building, and exacerbates a public health crisis.
  • We believe in revolution through healthcare. We challenge the conventional healthcare model that divides patients and providers and fosters unhealthy power dynamics. Our peer-based model creates a safe, trusted, and honest environment in which to provide services, and empowers our community to define our own well-being.
  • We are founded on the principles of harm reduction—St. James Infirmary supports Sex Workers being treated with dignity and respect, in every aspect of their lives

Our Impact

  • We increase access to primary healthcare and social services for Sex Workers throughout the San Francisco Bay Area.
  • We formalize communication and collaboration among individuals and agencies who serve Sex Workers to better serve our community.
  • We promote peer-based public health initiatives on behalf of Sex Workers, which may be used as a model for improving occupational health and safety standards and developing comprehensive medical and social services for Sex Workers around the world.
staff retreat

From Our Blog

Short Message on SESTA/FOSTA and SB1204

By sjidirector | April 9, 2018

A Short Message on SESTA/FOSTA and SB 1204 As an organization that has advocated for decriminalization of all facets of the sex industry since 1999, St. James Infirmary stands in direct opposition to both SESTA / FOSTA and SB 1204. We have an obligation to not only our participants, but also to our funders, government […]

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St. James Welcomes Our New Executive Director

By sjidirector | April 2, 2018

SJI Welcomes Our New Executive Director Effective May 9th, 2018, Toni Newman will be taking over as the Executive Director for St. James Infirmary. St. James Infirmary is a peer-based occupational health and safety clinic located in San Francisco, CA, offering free, compassionate, and non-judgmental healthcare and social services for former and current sex industry […]

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Won’t You Be Our Valentine?

By sjidirector | February 14, 2018

We’ve Gone Mobile!  Over 15 years ago, under the leadership of our founding Medical Director Dr. Deborah Cohan, St. James Infirmary conducted a “Pilot Van Study” funded by the National Institute of Health (NIH) and Ford Foundation. In the Pilot Program, our Outreach Workers visited several neighborhoods in San Francisco where Sex Workers were living […]

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Farewell & thank you to our outgoing ED!

By sjidirector | September 19, 2017

On behalf of the Board of Directors and Executive Management Team, we would like to thank our “Million Dollar Baby” for her incredible leadership over the past 4 years. In October, our beloved Stephany Ashley will be stepping down as Executive Director and joining the Board of Directors. Stephany has worked with SJI for 11 […]

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The Bad Date List has a new website!

By sjidirector | May 5, 2017

Stay up to date with the SF Bad Date List, now available in eleven languages! sfbaddate.com

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St. James Infirmary featured on CBS “Bay Area Focus”

By sjidirector | May 5, 2017
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St. James receives the 2016 Heritage of Pride Award from San Francisco Pride!

By stephashley | May 5, 2017
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New Address, New Hours, New Services!

By sjidirector | March 16, 2016

You may have heard the news- we’ve moved!!! Our new address is 234 Eddy Street, between Jones and Taylor- two blocks from the Powell Street BART Station. If you’d like a clinic staff member or volunteer to meet you at the BART station and escort you to your appointment, you can leave us a message letting […]

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Losing our home, building a new one

By sjidirector | October 15, 2015

Dear friends, family & supporters of the St. James Infirmary, It is with a heavy but determined heart that I write to tell you we are losing our clinic space at 1372 Mission Street in the very near future. The building which has housed the SJI, and recently our comrades at the TGIJP, is being […]

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Announcing our new High-Impact HIV Prevention Program!

By sjidirector | September 1, 2015

San Francisco AIDS Foundation to Expand PrEP Availability, Benefits Navigation; Glide and St. James Infirmary to Double HIV Testing Efforts Introducing the SJI’s High Impact HIV Prevention Team: Juba Kalamka, Dee Michel, Aria Sa’id, Mayra Lopez & Natalia García SAN FRANCISCO, August 11, 2015—The U.S. Centers for Disease Control and Prevention (CDC) has granted San […]

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