Who We Serve

Sex Workers (current or former) of all genders and sexual orientations, their current partner(s), and their children (Medical Services for Adolescent and above only) who live and work within the San Francisco Bay Area are eligible for free healthcare and social services. We also serve sex workers who are visiting the area.  Our community members […]

Read More

New Community Members

The intake interview is the initial step in formalizing contact between our community member participants and St. James Infirmary. Intake enables community members to provide basic information to the SJI staff in order to determine their service needs. All information gathered by staff through intakes is confidential. This information is voluntary and it is not […]

Read More

Primary Care

The following is a list of our Primary Care Services: Health maintenance screening (physical exams, blood pressure, cholesterol, weight). Evaluation and treatment of acute and chronic medical conditions such as asthma, skin conditions, respiratory infections, abdominal pain, high blood pressure, high cholesterol, anemia, etc. Reproductive healthcare for all genders, Gynecological and Urological Care. Contraceptive counseling […]

Read More

HIV & Sexually Transmitted Infections (STI) Counseling & Testing

Certified Test Peer Counselors provide: • Confidential HIV/STI counseling and testing, • HIV Rapid Testing with same-day results (on Tuesdays only), • RNA HIV testing (available all clinic days), • Disclosure counseling, • Risk reduction counseling, • Referrals for on-site STI treatment and community resources. STI Test Results are provided by phone on Mondays from […]

Read More

Peer Counseling & Psychotherapy

Mental Health Services St James Infirmary offers free caring and compassionate therapy, case management, support groups and peer counseling to current and former sex workers at our offices in San Francisco. Therapy St James Infirmary offers 1 year of free weekly trauma-informed, culturally sensitive psychotherapy for individuals. Our therapists each bring their own unique style […]

Read More

Holistic Services

We provide both energy and massage based bodywork: Energy: Acupressure, Acupuncture, Cranio-sacral Therapy, and Reiki are offered. All of the energy based healing modalities, except full body Acupuncture, are performed with client fully clothed. We have acupuncturists with over 20 years experience.

Read More

STRIDE: Transgender Hormone Therapy Program

Since our inception, we began offering hormone replacement therapy to our transgender participants.  In 2003, St. James Infirmary expanded our services to include a transgender specific clinic night. Our strategies of community-driven outreach and education to the transgender community, our allies and the general public increase our reach and impact. Unfortunately, after having expanded our […]

Read More

Community Outreach

St. James Infirmary’s outreach team can be found in many locations throughout San Francisco where we meet our sex worker communities both on foot and in our mobile unit called The Naughty Nurse Mobile. Our outreach team goes out on the streets, to strip clubs, bars, adult theaters, massage parlors, SRO’s, adult bookstores, street fairs, […]

Read More

Needle Exchange & Harm Reduction Supplies

Follow Us: Syringe Access and Harm Reduction The St. James Infirmary offers all of our services in the spirit of the harm reduction movement, which encourages us to “meet people where they’re at,” and not leave them there. Our harm reduction work is a humanizing practice, offered with compassion and respect. We address our participants’ […]

Read More

Bad Date List

The SF Bad Date List is a community-based violence intervention tool utilized by sex workers to share information regarding “bad dates.” A Bad Date may be any person who threatens, behaves violently towards, robs, extorts, or engages in any behavior that violates the agreed upon terms and boundaries of the exchange. This list may also […]

Read More