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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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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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Won’t You Be Our Valentine?

By sjidirector | February 14, 2018

We’ve Gone Mobile!  Over 15 years ago, under the leadership of our founding Medical Director Dr. Deborah Cohan, St. James Infirmary conducted a “Pilot Van Study” funded by the National Institute of Health (NIH) and Ford Foundation. In the Pilot Program, our Outreach Workers visited several neighborhoods in San Francisco where Sex Workers were living […]

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Farewell & thank you to our outgoing ED!

By sjidirector | September 19, 2017

On behalf of the Board of Directors and Executive Management Team, we would like to thank our “Million Dollar Baby” for her incredible leadership over the past 4 years. In October, our beloved Stephany Ashley will be stepping down as Executive Director and joining the Board of Directors. Stephany has worked with SJI for 11 […]

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The Bad Date List has a new website!

By sjidirector | May 5, 2017

Stay up to date with the SF Bad Date List, now available in eleven languages! sfbaddate.com

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St. James Infirmary featured on CBS “Bay Area Focus”

By sjidirector | May 5, 2017
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St. James receives the 2016 Heritage of Pride Award from San Francisco Pride!

By sjidirector | May 5, 2017
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New Address, New Hours, New Services!

By sjidirector | March 16, 2016

You may have heard the news- we’ve moved!!! Our new address is 234 Eddy Street, between Jones and Taylor- two blocks from the Powell Street BART Station. If you’d like a clinic staff member or volunteer to meet you at the BART station and escort you to your appointment, you can leave us a message letting […]

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Losing our home, building a new one

By sjidirector | October 15, 2015

Dear friends, family & supporters of the St. James Infirmary, It is with a heavy but determined heart that I write to tell you we are losing our clinic space at 1372 Mission Street in the very near future. The building which has housed the SJI, and recently our comrades at the TGIJP, is being […]

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Announcing our new High-Impact HIV Prevention Program!

By sjidirector | September 1, 2015

San Francisco AIDS Foundation to Expand PrEP Availability, Benefits Navigation; Glide and St. James Infirmary to Double HIV Testing Efforts Introducing the SJI’s High Impact HIV Prevention Team: Juba Kalamka, Dee Michel, Aria Sa’id, Mayra Lopez & Natalia García SAN FRANCISCO, August 11, 2015—The U.S. Centers for Disease Control and Prevention (CDC) has granted San […]

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Support the St. James 2015 AIDS Walk Team!

By sjidirector | June 19, 2015

We’re already getting excited for the 2015 AIDS Walk San Francisco- where we strut our stuff for some much needed funds to support our HIV Prevention Services. Help us kick start our fundraising with a donation to our team!   

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St. James’ Super Sweet Sixteen!

By sjidirector | May 12, 2015

On Saturday June 13th it’s a Double Birthday Party for St. James Infirmary & Stephany Ashley (SJI’s ED).  Live bands, DJs, food, drink and debauchery, with all funds going to support free healthcare and social services for Bay Area sex workers! Who: St. James Infirmary and all our fans and family! What: A Birthday Party […]

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