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


VAMP takes on documentary film-maker

By sjidirector | September 27, 2010

At the St. James Infirmary, we frequently get asked by researchers and students to do research with our participants. In the past, we have seen this arrangement abused by people who come from outside the sex worker community to gain access into a marginalized group for their own gain. We also know, that research on […]

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St. James Infirmary Folsom Street Beer Booth!

By sjidirector | September 25, 2010

Looks like it’s gonna be a hot and sticky Folsom Street Fair tomorrow.  Come and quench your thirst with the hottest hos with the coolest beer.  Fetish attire will be in full swing  so watch us sweat in tight leather or vegan-friendly rubber while we serve you over-priced drinks for a good cause.  Tips greatly […]

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Volunteer Meet n Greet

By sjidirector | September 13, 2010

Would you like to come and volunteer at the St. James Infirmary?  If yes then complete this application and bring it to the clinic on Tuesday September 21 at 7pm and meet the wonderful staff of St. James and find out where your special talents can be put to good use.

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Sunday Sep 12, Drink Beer for a Good Cause: Toad Hall Beer Bust Benefits St. James Infirmary

By sjidirector | September 11, 2010

We have a really fun events coming up SUNDAY SEPTEMBER 12. If you are in SF, PLEASE come to this event and bring your friends!!! What’s really great, is that not only are the beer busts a LOT of fun, 
but they ALL fall under St. James Infirmary’s “MATCHING YOUR DEVOTION” $10,000 Matching Grant period, […]

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Heavy Rotation @El Rio this Firday 10pm, $5 Door Benefits St. James Infirmary

By sjidirector | September 6, 2010

HEAVY ROTATION San Francisco ‘s dance party for everyBODY!!! An outsiders club for body rebels, size queens, radical fatties, chubsters, trans folk, queers and our friends and lovers of all colors, genders, sexualities and ages 21 and beyond!!! Heavy Rotation is Benefiting the St. James Infirmary this Friday, September 10th at El Rio 3158 Mission […]

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Eagle Beer Bust Benefits St. James Infirmary: Double Your Pleasure, Double Our Funds!

By sjidirector | August 29, 2010

We are super excited to announce that this coming Sunday September 5th, (Labor Day Weekend!!), the Eagle Tavern will be hosting the St. James Infirmary for a wet and wild Beer Bust.  This means you buy a cup for $10 and get to drink as much beer as your liver and bladder can handle.  We […]

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Double Your Pleasure Double Our Funds! Beer Bust & Raffle…

By sjidirector | August 27, 2010

We have a really fun events coming up SATURDAY AUGUST 28. If you are in SF, PLEASE come to this event and bring your friends!!! What’s really great, is that not only are the beer busts a LOT of fun, 
but they ALL fall under St. James Infirmary’s “MATCHING YOUR DEVOTION” $10,000 Matching Grant period, […]

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Nothing About Us Without Us: The Shared Goals of the Harm Reduction and Sex Worker Rights Movements

By sjidirector | August 19, 2010

The above video and supplementary documents are designed to spark discussion and create inspiration for looking at the ways that peer-led groups providing support and services to sex workers in their communities can collaborate with harm reduction agencies. The materials were developed by a group of sex workers and allies during the Speak Up! media […]

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Matching Your Devotion

By sjidirector | August 2, 2010

On Monday, August 2nd, 2010, the St. James Infirmary is kicking off our Matching Your Devotion campaign and we want you to be a part of it!   We have received an extremely generous $10,000 matching grant; we have 2 months to match it and raise a whole lot more. Since our inception, the St. James […]

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St. James Infirmary publishes the 3rd Edition of our Sex Worker Occupational Health & Safety Handbook

By sjidirector | July 16, 2010

The St. James Infirmary “Occupational Health and Safety Handbook, 3rd edition” is hot off the presses and better than ever! The first half of the book is devoted to harm reduction, health, safety and legal rights, and the second half has information for 720 local, national and international resources relevant to the lives of sex […]

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