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, 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

Ribbon cutting for TGNC Washington Street House with Mayor London Breed and SF Supervisor Aaron Peskin
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


Events with St. James Infirmary December 2013

By sjidirector | December 13, 2013

Sunday December 15th:  December 17th Candle Making Party 4pm-6pm at the clinic.  Bring pictures of sex workers who have been victims of violence.  We will be making memorial candles for the Dec17 vigil. Tuesday December 17th:  International Day to End Violence Against Sex Workers, Vigil from 6pm-9pm location:  1349 Mission St, San Francisco, CA 94103 […]

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Take Action to Stop Discrimination in Compensation!

By sjidirector | December 9, 2013

This Thursday December 12th the Victims of Crime Compensation Fund (CalVCP) Board will be meeting to vote on possibly changing the discriminatory regulations that prevent sex workers who are victims of rape from receiving financial support for housing, mental health services, relocation, or healthcare just like any other victim. We are asking our community to […]

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Please Welcome Stephany Ashley, our NEW Executive Director!

By sjidirector | October 11, 2013

Announcement from our outgoing Executive Director: It is with great pleasure that I announce to you that our new Executive Director is the wonderful and talented Stephany Ashley!  Stephany will be joining the clinic as ED starting 10/21/2013 and we are excited and blessed to have her. Stephany started at the clinic nearly 8 years […]

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Community Announcement, Please Circulate Widely

By sjidirector | September 8, 2013

September 8, 2013 Dear Friends, Community Members, Allies, Supporters and Stakeholders of the St. James Infirmary, I am writing today to inform you that I will be transitioning out of my position as Executive Director of the St. James Infirmary and will be instead moving onto the Board of Directors to continue working as a […]

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WANTED: Folsom Street Fair Volunteers

By sjidirector | August 26, 2013

  Sunday September 29th is the Folsom Street Fair and St. James Infirmary has been selected as a beneficiary of Folsom Street Events! This means we need awesome volunteers like yourself to volunteer for a shift at Folsom and we get a check for the clinic! Volunteer shifts are easy & fun, and a nice […]

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Save the Date: Sunday 9/29/13 Folsom Street Volunteers Wanted

By sjidirector | August 7, 2013

  Sunday September 29th is the Folsom Street Fair and St. James Infirmary has been selected as a beneficiary of Folsom Street Events! This means we need awesome volunteers like yourself to volunteer for a shift at Folsom and we get a check for the clinic!   Check back here in a week or so […]

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Dore Alley Volunteers Wanted!

By sjidirector | July 7, 2013

Fabulous People! St. James Infirmary is recruiting volunteers for the Dore Alley Street Fair on Sunday, July 28th, (Up Your Alley) and we need your help! Volunteer shifts are short, easy & fun, and a nice way to connect with both the St. James extended family & wandering hotties at the Fair.  Plus your volunteer […]

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Condoms Should NOT be Illegal – Help Us Get This Bill Passed

By sjidirector | May 28, 2013

Dear Friends – We need your help  to stop the practice of condoms being used as evidence of prostitution in California. This practice prevents people at high risk from taking the prevention supplies they need. You are a constituent (or work with constituents) of a California Assemblymember who has not yet stated a position on […]

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The 8th Biennial San Francisco Sex Worker Film and Arts Festival

By sjidirector | May 22, 2013

The 8th Biennial San Francisco Sex Worker Film and Arts Festival May 18th — 26th, 2013 Multiple venues: Roxie Cinema; Center for Sex & Culture; Agency Locations-St. James Infirmary; CAL-PEP. Schedule Since 1999 the San Francisco Sex Worker Film and Arts Festival has provided a forum for sex worker film and video makers to screen […]

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Twenty Years of Giving Sex Workers A Voice

By sjidirector | May 16, 2013

A Guest Post by Johanna Breyer & Dawn Passar, Co-Founders of the Exotic Dancers Alliance and St. James Infirmary: On May 15, 1993, over 30 dancers from Market Street Cinema in San Francisco attended a meeting to discuss working conditions at the strip club. That meeting initiated a movement that would eventually lead to the […]

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