Our Mission

St. James Infirmary is a peer-based occupational health and safety clinic for sex workers of all genders.
It is our mission to meet the needs of people engaged in the sex trade through advocacy, direct services, and social justice.


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We are very excited to announce that we have begun our 2019–2020 fundraising campaign: "St. James Infirmary, in our 20th year, is fighting for the equity of sex workers and trans people of color."

St. James Infirmary believes that we will achieve health equity and anti-criminalization in California by focusing on providing comprehensive support to Sex Workers of Color. St. James Infirmary believes that we cannot fight for the liberation for Sex Workers and Sex Workers of Color without fighting for the liberation of Trans People of Color.

Towards those ends, we are expanding and transforming our services. We have FOUR major changes that we need your help to achieve:

First, St. James Infirmary is bringing its HIV services to Oakland. We have long desired to bring our services to Sex Workers to the East Bay, and we have finally decided that we are going to make a dedicated effort to gather the resources necessary to make it happen, starting with our HIV program.

Second, as the largest employer of Trans Women of Color in the Bay, St. James Infirmary has a responsibility to ensure that the services provided to the Trans community of Color are appropriately run. Towards that end, we are launching a new housing program specifically for the Trans Community. Details to follow!!

Third, St. James Infirmary is expanding its outreach program in the Mission. Thanks to a grant from the City of San Francisco, St. James Infirmary will have increased presence in the Mission on weekend nights, additional resources, and, importantly, a newly-formed emergency housing program for Sex Workers at risk of harm. With your help, we can continue to build out our program and serve as a model for the rest of the country!

Fourth, St. James Infirmary is conducting a needs assessment and launching a leadership development program. We are privileged to be in a place where we can use our resources to amplify the voices of marginalized sex workers in the Bay Area, and look forward to providing those interested with what they tell us they need to bring their work to the next level.

With the above in mind, we are asking St. James Infirmary’s family and supporters to become sustaining donors. As you all have noticed over the past several years, St. James Infirmary has grown into an organization that has the leadership, vision, philosophy, and organizational capacity to make it happen. What we need is the money. The dollars. The dough. The bread. The cheddar. Whatever you want to call it, we need it. And we need you to give it to us.

St. James is on the rise—we are certain that you who have been watching us know this truth as well as we do. What we are asking for now is the resources necessary to push us through this period of growth so we can complete our transition into the organization that everyone knows we can be. We thank you for your patience during our transformation. We thank you for your support. We thank you for being you, because without you, there is no us.

Please support St. James Infirmary by making a monthly donation.

Our Trans Home SF

Our Trans Home SF is a coalition campaign working to address & raise visibility of trans homelessness & housing instability. Led by St. James Infirmary and Larkin Street Youth Services we need your support.

Make a donation today!



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.
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From Our Blog


Volunteer & Raise Money for SJI: Pink Saturday & Pride

By sjidirector | May 31, 2012

It’s Pride Season! On June 23rd & 24th (Saturday & Sunday) St. James Infirmary will be celebrating LGBTQ Pride by working the gates at Pink Saturday for the Sisters of Perpetual Indulgence and selling mixed drinks at a beverage booth on Sunday during the Pride Parade. You can help the clinic raise money by volunteering […]

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Join St. James Infirmary in Golden Gate Park for AIDS Walk San Francisco July 15th 2012

By sjidirector | May 14, 2012

  This July 15th, St. James Infirmary staff and volunteers will be joined by our friends, partners, loved ones, pets and Infirmary supporters as we walk the ~5 miles in Golden Gate Park. We would love to have you join our team (St. James Infirmary). Or you can support our team by making a donation […]

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Hayseed Harlots: Back in the Saddle with Michael Brandon & Friends April 22nd @Rebel

By sjidirector | March 26, 2012

Hayseed Harlots: Back in the Saddle with Michael Brandon and Friends A wild west ho-down benefit for the St. James Infirmary — with Sister Hera Tique and Leo Forte. Guest Bartenders: Michael Brandon, Sister Mora Lee D’Klined, Leo Forte, Lance Navarro & the lovely and talented Stephany Joy Ashley! Bust out yer chaps and cowgirl/boy […]

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SJI Media Project Goes to Geneva!

By sjidirector | January 21, 2012

In October 2011, we launched the “Someone You Know is a Sex Worker” media campaign.  The campaign included a poster  on the side of 30 Muni buses for 4 weeks and the development of 6 agency posters for sale at conferences and on our webstore. This project is quite an achievement for the St. James […]

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Happy New Year!

By sjidirector | January 2, 2012

On behalf of the St. James Infirmary, we would like to wish everyone a happy and healthy New Year.  We would also like to thank all of the wonderful people who have been so generous to us in 2011.  It is an honor to be serving our community and we are truly blessed!

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Clinic Closed: The last 2 Wednesdays & Thursdays of December

By sjidirector | December 17, 2011

The clinic will be closed on: Wednesday December 21st Thursday December 22nd Wednesday December 28th Thursday December 29th The NEX program will be open during these weeks. We will open back up for full services on January 3rd, 2012.   HAPPY NEW YEAR!!!

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December 17th, International Day to End Violence Against Sex Workers

By sjidirector | December 15, 2011

For more information about December 17th, International Day to End Violence Against Sex Workers, or Dec. 17th event listing in other Cities and States, please visit the SWOP page

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St. James Infirmary Presents Our Annual Holiday Party, December 15th 6-8pm

By sjidirector | November 27, 2011

Join us for our annual holiday party with turkey, sides, cake, pies and vegan food. Thanks to a special anonymous donor, we will be having holiday gift bags this year.

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The Cure For What Ails You: A St. James Infirmary Benefit at Rebel!

By sjidirector | November 25, 2011

Miss Steph Joy (Programs Director of the St. James Infirmary) and the infamous Heklina invite you to stop by Rebel on Saturday November 26th from 6-9pm for cocktails to support the St. James Infirmary! Steph pours a mean cocktail (anyone ever had a “French Whore?”) and all tips go to keeping the Infirmary alive and […]

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Clinic Closed For Services November 23rd, & 24th

By sjidirector | November 22, 2011

We will be closed for services during Thanksgiving week. We will resume our normal hours on November 28th. However, please note the clinic will also be closed: Wednesday December 21st & Thursday December 22nd Wednesday December 28th & Thursday December 29th The NEX program will be open during these weeks for Syringe Access & Disposal. […]

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