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Joaquin Remora moved to California with $1,000 in his pocket, no job and two back-to-back evictions under his belt. The move was a lifesaver.

“I was like, ‘I’m either going to come out as transgender, or kill myself,’” he said. “San Francisco was the only place that I could think of where I thought it wasn’t going to be a problem for me to be trans.”

For the first few months after he arrived, Remora lived in his car. “I didn’t access housing services because it was too overwhelming,” he said. “I was traumatized, I didn’t feel like I was deserving of them.”

On March 9, the city’s first navigation center to specifically serve transgender and gender-nonconforming people opens in SoMa. Operated by St. James Infirmary, a nonprofit that serves sex workers, the 65-bed shelter (81 after COVID-19 restrictions end) will provide case management, health care, job opportunities and substance use treatment for people experiencing homelessness.

“We know that queer people in general, and trans and gender nonconforming people specifically, are overrepresented in the homelessness system,” Shireen McSpadden, director of the Department of Homelessness and Supportive Housing, told the Public Press after meeting with staff and touring the site. “I think that this is the right response.”

It will fill a gap in homeless services that has excluded a highly vulnerable population. Transgender people are 17 times more likely to experience homelessness than the average person, and 70% of those who have stayed in shelters report having experienced harassment, according to a study conducted by the National Center for Transgender Equality. As a result, unhoused transgender people are often reluctant to engage in traditional services.

San Francisco is no exception. A lack of culturally competent shelter staff is something Remora, who eventually got housing and a job with a homelessness nonprofit, witnessed firsthand.

Early in the pandemic, he worked at two navigation centers in the city, where he says he saw staff struggle to address the intersections of violence, sex work and gender identity. The idea for a navigation center that serves only transgender and gender non-conforming people emerged late one night, while Remora worked an overnight shift at the Embarcadero Navigation Center with one of the few gender-nonconforming staff members, Britt Creech.

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“We just started talking about this dream we had,” Creech said. “This is the most marginalized community that we see. They’ve been let down over and over and over again.”

Several months later, an opportunity to open the center appeared. The Department of Homelessness and Supportive Housing reached out to the Transgender Gender-Variant and Intersex Justice Project, a prison abolition organization, to see if they’d be interested in taking over the Bryant Street Navigation Center, which had been converted to an isolation ward during the pandemic. The organization suggested the city reach out to St. James Infirmary, where Remora was working as the inaugural director of a new city initiative called Our Trans Home SF. All of a sudden, he had a path forward to creating a new type of homeless shelter for transgender people.

Creech came on board as managing site director. Together, they decided to christen the new space the Taimon Booton Navigation Center, in honor of an unhoused gender-nonconforming youth who made a significant impact on them both before dying in 2020.

The navigation center, located under Interstate 80, is one of the few not built in a large white tent. Instead, it has orange and blue walls and a large tree emerging from its patio. Its planters, currently containing struggling greenery, will soon be filled with succulents; Creech has a green thumb. There are plans for murals honoring local trans activists and fairy lights to illuminate the outdoor areas after dark. Gendered signs outside the bathrooms and showers will be removed.

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St. James Infirmary’s commitment to hiring employees with lived experience of its clients has continued at the navigation center. Remora recruited staff using solely Instagram posts and word of mouth, hoping to build a racially diverse team of transgender and gender-nonconforming staff. The response was enormous.

“I interviewed 60-something people in five weeks,” he said. “The numbers showed when we started the interview process — and everyone else was having a hard time hiring — how many trans people are not applying to regular jobs, because they know that it’s not sustainable for them or healthy. This is a really big opportunity to work somewhere you can be yourself.”

The commitment to a peer-based model of services is something McSpadden applauds. “I think this can be transformational for people,” she said. “It’s healing. It’s safe. It builds community. That, to me, is really exciting.”

That healing is central to St. James’ mission for the space. Stephany Ashley, St. James’ former executive director, consulted on the opening of the center. “Trans people, and especially trans feminine people, experience so much violence on a daily basis,” she said. “It’s one thing to have a home to go to at the end of the day, and a door to close, that’s your safe space. But for people who are unhoused, there’s never that moment where you’re not subjected to that violence. This place is really going to be a refuge. That’s what’s been missing from the system of care.”

With just a few days to go until the navigation center opens, St. James’ staffers are busy alerting nonprofits, frontline workers and case managers — who already have relationships with transgender people experiencing homelessness — about its presence. A guest list is starting to form, though the plan is to bring in residents slowly.

“People are traumatized, and if they don’t have a space where they can start the day with some peace, then they’re always going to stay in trauma,” Creech said. “We have people in place to help guide them and open those doors. So maybe we start with a little bit of care, get people to open up, then the world’s their oyster.”

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Community Support Line for Sex Workers Seeks Volunteers

SWOP Behind Bars is seeking volunteers for their Community Support Line especially for people located on the West-coast.

If you are a sex worker in need of support check out the link for online chat functions or

call 1-877-776-2004 ext. 1

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Amanda Priebe art for St. James_ Color_ with flowers _1_

artwork by Amanda Priebe

DEAR SEX WORKERS: WE LOVE YOU

Online Workshop Series Continues

Mindfulness and Meditation with Vadan is every Monday at 12noon

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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

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#SweepThePolice

By StJames | January 19, 2022

In recent weeks, workers at St. James Infirmary listened closely to the high-pitched declaration of “emergency” for the Tenderloin, coming from centers of power in San Francisco. We agree that there is indeed a state of emergency in the Tenderloin, SoMa, across San Francisco, and far beyond: the overdose epidemic, the prevalence of untreated addiction, […]

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St James Infirmary: 22 year old organization serving the sex worker community during its most challenging year, re-structures its leadership

By StJames | July 22, 2021

After a tumultuous year of change and loss due to Covid, economic crisis, an overdose epidemic, and more, the St James Infirmary has solidified their dedication to the sex worker community and to themselves. The 22 year old organization was founded by several sex worker activists and healthcare advocates, including the recently dearly departed San […]

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Village Sun Article About Margo

By sjidirector | February 24, 2021

San Fran honors Margo St. James as N.Y. pols, feminists debate decriminalizing prostitution

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Press Release: “Prostitution: A Plethora of Ps”

By sjidirector | February 24, 2021

Prostitution: A Plethora of Ps By Margo St. James Published as an Editorial in the San Francisco Examiner, November 16, 1995 There are many P words when it comes to Prostitution. Prohibition is a Prerequisite of course, for Popular Participation. Please Peruse Players in this Popular Pastime. Besides the Principal Person, the Prostitute:  Proffered in […]

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Press Release: Save the Date, A Celebration of Margo St. James’ Life

By sjidirector | February 24, 2021

For Immediate Release 23 February 2021 SAVE THE DATE – A Celebration of Margo St. James’ Life Scheduled for May 1, 2021 Founder of COYOTE (Call Off Your Old Tired Ethics): Witness History On January 11, 2021, Margo St. James, founder of the first prostitutes’ rights organization in the United States, died in her hometown […]

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Margo St. James Bio

By sjidirector | February 24, 2021

23 FEBRUARY 2021 FOR IMMEDIATE RELEASE: CONTACT: KATE MARQUEZ/ [email protected] SAVE THE DATE REMEMBERING MARGO ST. JAMES, FOUNDER OF COYOTE (CALL OFF YOUR OLD TIRED ETHICS) WITNESS HISTORY, 1 MAY 2021 – 11:00 AM, PACIFIC TIME REGISTER AT www.stjamesinfirmary.org Everybody knew about Margo, who was culturally influential at the national level and a local celebrity […]

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A Wonderful NY Times Article About Margo!

By StJames | January 22, 2021

Margo St. James, Advocate for Sex Workers, Dies at 83 Katharine Q. Seelye. “Margo St. James, Advocate for Sex Workers, Dies at 83”. New York Times, January 20th 2021. https://www.nytimes.com/2021/01/20/us/margo-st-james-dead.html 2021-01-20

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San Francisco’s Own Legendary Margo St. James Dies

By sjidirector | January 14, 2021

Margo St. James, founder of COYOTE (Call Off Your Old Tired Ethics), has died.  Born in Bellingham, Washington on September 12, 1937, St. James moved to San Francisco on  St. Patrick’s Day in 1958, securing a room above the El Matador on Broadway. She would later join the beatnik scene, hanging out in jazz clubs […]

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A portrait Margot St. James flexing her left bicep

Margo St. James

By StJames | January 12, 2021

With profound sadness, the St. James Infirmary announces the death of the most storied among our founders, Margo St. James. The St. James Infirmary is a part of Margo’s legacy. So too are her deeds and words that exposed hypocrisy with extraordinary wit. Much can be said of Margo, but her own words offer the […]

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Request for Community Participation: New SJI Advisory Board

By StJames | July 16, 2020

Hello beloved community! St James Infirmary is in the process of forming an advisory board. We will be comprised of staff, volunteers, participants, and community. We hope to gain perspective on the needs and desires of sex workers who are trans, Black, POC/Indigenous, immigrant, youth, homeless, working on the street, organizers and anyone with great […]

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