Devon Hunter

Devon Hunter: Please tell me: a) the contact info you would want used in the interview, b) a brief description of the organization’s history,  c) and how the organization fills a gap in standard attitudes towards sex workers.

Stacey Swimme: I am the Development Director of St. James Infirmary.

St. James Infirmary provides compassionate and non-judgmental health care and social services for all sex workers, while preventing occupational illnesses and injuries through a comprehensive continuum of services. We offer free, confidential medical and social services for female, male, and transgender, sex workers.

We are the first peer run occupational health and safety clinic for sex workers in the United States. In our case, peer run means that the majority of our staff, current or former sex workers and are active clients of the clinic-that is they also receive our services. The nature of peer-to-peer services creates a safe space where sex workers can feel safe in discussing their sexual health, seek out services that are appropriate to meet their needs, and receive culturally competent care. Sex workers tend to be pathologized in medical environments, resulting in fractured relationships with medical providers and inadequate care. At the St. James Infirmary participants have no fear of their occupation interfering with their right to receive quality medical care.

What services do you offer at the Infirmary, and how are these services funded?

About one third of our funding comes from the City of San Francisco and state of California through their respective AIDS prevention funds. This support has been slashed in 2009 as the city and state are both facing severe budget cuts. We also receive in-kind support from other clinics and HIV/AIDS prevention organizations.

We’ve recently become qualified for some third-party billing programs such as Medi-Cal and FamPACT (a family planning fund). Through these programs we’re able to receive reimbursements for some of the clinical services provided, such as gynecological care. These reimbursements are helping to off-set costs, but often still do not cover the full expense that we put out for these services.

The rest of our funding comes through private foundation grants and private contributors. Individual private donors who contribute small amounts, anywhere from $20 to $200, are really helping us keep our program going.

Our services include Primary Care, Transgender Hormone Therapy, HIV/STD/HCV Counseling and Testing, Hepatitis A/B Immunizations, Acupuncture, Massage and Reiki, Peer and Mental Health Counseling, Support Groups, Health Education Workshops, On-site and Street-based Syringe Access & Disposal (NEX), Street and Venue-based Outreach, Wound/Abscess Care, Food and Clothing, Harm Reduction Supplies, Apprenticeships and Internships, Community Research, and Education. We are open 3 days a week: Tuesdays 1-6pm (NEX) and Tuesdays 3-6pm (wound and holistic care); Wednesday 6-9pm (drop-in and appointment-based Medical services); and Thursdays 1-4pm (appointment-based transgender healthcare) and Thursdays 6-9pm (drop-in primary medical care).

A full list of the support groups, meetings, and other opportunities to participate or receive services is available at our website at www.StJamesInfirmary.org.

What type of political/social/cultural climate is required for a city to have an organization like St. James? What kind of cooperation is needed from local authorities?

This project was made possible because of the unique vision of Sex Worker rights activists from COYOTE and the Exotic Dancers Alliance (EDA). In 1999, via collaboration with the Department of Public Health STD Control and Prevention Section (known as “City Clinic”), the University of California San Francisco, COYOTE, and EDA the St. James Infirmary started as a private non-profit 501(c)(3)

Having a rich history of sex worker rights organizing in San Francisco (first with COYOTE, then BaySWAN, and later the Exotic Dancers Alliance) was central to ensuring that this would be a strong peer-led effort that would honor the true needs of sex workers. Several things happened that made this possible. In 1996 the San Francisco task force on prostitution made recommendations that the City should fund occupational health services for sex workers. In 1998, sex workers rights activist from COYOTE and EDA called the Director of STD Control and Prevention of the San Francisco Department of Public Health, Dr. Jeffrey Klausner and proposed a clinic model for sex workers that went beyond HIV and STI testing. This was the beginning of conversations and alliances to be made that provided the framework for a peer led occupational health and safety clinic for sex workers.

First we were just open one night a week at City Clinic. For five years, every Wednesday night 6-9pm, City Clinic was open to sex workers and their current partners for services ranging from primary care, STD screening and prevention, and free sexual health resources to items such as condoms. In 2003 we got our own clinic! Our hours were expanded, and a wealth of services were added.

How do you protect the privacy of the people who seek your help?

Participants are never required to provide identification. Whatever name, gender and other identities an individual wishes to be known by at our clinic are what goes into their medical records. The records are only accessible by staff who need them. Since we are mostly peers and share a desire for privacy, participants have no reason to fear that we will be insensitive about this. Medical records are protected under privacy laws and can only be shared with outside sources at the request of the participant (patient) or through a court ordered subpoena. However, we are not an anonymous test site, we are a confidential test site. Under the law, positive HIV and STI test results are disclosed to the Health Department. But if a person is using an alias, than that is the name that is reported with the test result.

What measures would you suggest if someone wanted to pursue founding a similar organization for their own area?

Collaborate! Start by building a relationship with a local clinic that sex workers in your community trust. Sometime Planned Parenthood is a good place for sex workers, sometimes they’re not. Clinics that serve LGBTQ communities also tend to be kinder to sex workers, but again, it’s hit or miss in some towns.

You also need a strong sex worker community to advocate for a rights-based approach to healthcare. Team up with your nearest Sex Workers Outreach Project (SWOP) chapter or other regional sex worker rights group. Talk with other sex workers in your community about what their actual needs and interests are. Remember, sex workers had been building community in San Francisco for over 25 years before SJI was created. That foundation and well-connected members of our community are how this was possible.

In 2006 you offered a scholarship. Can you tell me how that happened and whether or not it is an on-going program?

The scholarship program we offered was a one-time program that was the result of unclaimed settlement money in a class action lawsuit. In 2003, a group of exotic dancers filed suit against some strip clubs in San Francisco and then settled the case (Siefred v. Centerfolds, et.al. Case No. 305470). After the court exhausted attempts to reach all the original plaintiffs in the case, the Court ordered that unclaimed money from the settlement be used for a grant program focused on education, job training assistance, and alcohol/drug treatment counseling for members of the dancer community. The St. James Infirmary was one of several agencies that received grants from this program. We decided to use our grant money for scholarships to any dancer who could verify that they were currently enrolled in school or a job training program and had danced in San Francisco since 1998. The money was then paid directly to the educational institutions. It was a really amazing opportunity for us to redistribute that money to the community. All together we awarded over $60,000 in scholarship money to about 30 exotic dancers.

Which organizations do you collaborate with and how/why?

In San Francisco:
SF DPH, San Francisco AIDS Foundation, SRO Collaborative, Coalition on Homelessness, Coalition to Save Public Health, the DOPE Project (Harm Reduction Coalition), City Clinic, TransTHRIVE, Positive Directions, Harvey Milk Democratic Club, BaySWAN, and others.

Sex workers rights: We are a community organization member of the Desiree Alliance, we work with other sex worker rights groups as well including SWOP.

What benefits do you see your community enjoying because of the work done at St. James?

Most importantly we are a safe haven with understanding supportive peers. From personal experience and from speaking with others, I know that having a sense of community and a place where you feel welcome contributes to a sense of self-value that motivates us to be healthy and informed. In addition to all of the free services we offer, such as massage or accupuncture, we make friends here. We meet other participants here who will be a safe call when we do outcalls, or who can tell us about a new website to market whatever our unique service is. We circulate a bad date list to help people avoid dangerous clients. People can not only pick up condoms here, but also get info on how to use them or how to be assertive with a client who doesn’t want to use protection. These little details that we understand make huge differences in the lives of sex workers, and these details are often not available at other health clinics.

Are there any obstacles or challenges that hamper your efforts?

Lots! We’re running out of money. That’s the biggest thing. We’ve been holding on for as long as we can to avoid service cuts and cutting back staff hours. But with the reduction in support from city and state, plus the huge cuts that private foundatiuons are experiencing due to the economy, we are in a very tight place right now.

Other challenges: People’s attitudes toward sex workers; the fact that we see sick people arrested and cycled through the jail system; and them then coming out at the other end with their health in even worse a state… all of these things are hard for our staff to see and experience. The criminal status of some of our participants is a driving force in blocking their access to healthcare and safety resources. While we are running low on funds we continue to see money wasted on prohibiting prostitution, which is directly working against our mission to help sex workers stay healthy.

What is the over-arching goal of the organization, and how do you measure effectiveness?

The main goal is to give sex workers access to the tools they need to be safe and healthy. More than 70 per cent of participants say that they heard of us through a friend who has been here. This is a major sign of how effective we are being at providing culturally competent care to a very marginalized group of people.

This year is our 10 year anniversary! We’re having a huge anniversary party on June 5th, 2009 in San Francisco. Info will be at our site at http://www.StJamesInfirmary.org.

I was wondering if you might be willing to link to http://www.BoundNotGagged.com, a blog for sex workers?

I would be happy to list your links. And thank you for sharing this incredibly helpful information with me and my readers.

I went for lunch and a walk in the park today, because for the third day in a row it would be spiritually negligent to not. It is so pretty here lately - it’s hard to believe there was snow on the ground a week ago. The trees and flowers are putting out buds; the clover is bright green, with little purple pin-striped blooms; and I even saw my first massive bee of the season. The bees look so plump and lazy, the way they bumble around in the air like zeppelins - I think they’re marvelous. Bumble bees make me smile. They’re so clumsy and endearing.

I went to lunch with a new acquaintance, and we talked about all the light stuff: Religion, career, school, and family. You know, the easy stuff. HA! We went for a walk while our bellies were still full, and he asked me more questions about work. He finally came around to the question that I knew he was wanting to ask: “You said the line is different for each dancer. Where is your line?”

I have never been an escort. I’ve never had penetrative sex for money. I’m just not interested in it. I have allowed some men to go down on me during a private showing, but it’s not my modus operandi. I regularly touch the clients as they are touching me. I’ve even given a handjob here and there - but all that is fairly tame by comparison to what others enjoy/tolerate.

Sex is special to me: If I hook up, I want it to be because the guy is hot and/or intriguing. If I meld, I want it to be genuinely invested. If I make love, that can’t be bought from me. Groping and infrequent receptive oral sex don’t offend me, because I perceive them as fairly impersonal. Perhaps I’ve been touched superficially enough that it just doesn’t mean anything to me anymore? Kissing and sex, however, are much deeper forms of touch, and they are still reserved for my personal time.

In my past blogs I’ve strongly cautioned against doing anything against local laws. I am aware of the hypocrisy in what I have just admitted. But the limited sexuality I sometimes permit doesn’t leave a blot on my conscience. Also, consider how irresponsible it would be for me to say to a neonate, ”Yes, go out and suck as much dick as you can! Let them all fuck your ass too, for good measure.” Um, no. That is nowhere near the level where I operate - it’s fine for the people that are okay with it (if they’re willing to take the risks involved), but that isn’t for me.

What I’ve described today is reality, not legal advice. No, I don’t advocate that people do what is done, but that doesn’t change the fact that it happens. For the most part with me, a dance is a dance, but occasionally they are a little bit more. The line is different for each dancer, and mine is drawn pretty far down on the scandal ladder.

Ultimately, you have to know who you are and what you can tolerate. In addition to this, there is also the law. No, you shouldn’t allow anything that is illegal to happen during a dance. People also shouldn’t smoke marijuana (according to the law). They also shouldn’t speed when they drive (according to the law). And of course, people shouldn’t loiter, download music from the Internet, or jaywalk (according to the law). I will continue to say that people shouldn’t be sexual in their dances, because I don’t want to be responsible for leading someone into risk. However, there is the perfect world, and then there’s the real world. I figured it was time to speak more transparently about where my line is - I’ll not be turning myself into a saint, thank you very much.

So, with all that said: Wanna private dance?

Dear Harlow,

I just watched the videos that were produced for the here! network, and I wanted to take a moment to tell you that your story has not gone unheard and unfelt. I want you to know that there are people who see that “even a gay porn actor” is innocent until proven guilty. I want you to know that there are people who are not entertained by your misery. I want you to know that you are right every time you say your name out loud, and that your mother is right to touch the glass as if she were caressing your face. I want you to know that when you are exonerated there will be people who will celebrate whole heartedly for you. I want you to know that there are people who hope you will survive, heal, and thrive. I want you to know that there is compassion for you, and that there is still beauty outside - it is waiting for you to embrace it when you return to the world. Do not come back to us broken. Please.

If you are found guilty, I hope it will be because there is a mountain of incontrovertible truth sustaining that decision, and not because you have lived your life in your own way. If you are found innocent, I hope it will be because you are innocent without any further doubt attached to your name. If you are found lost in the dark, I hope you will remember the points of light: They are the stars that will guide you home. If you are found alone, I hope you will remember that you are not.

Con mucha esperanza,

Devon

Let the buyer beware…

There are some red flags you should be aware of when you go to a club. SOB licenses (sexually oriented business) are required in many places in order for lap dances to be permissible. Depending on the state/county/city laws, getting a lap dance in a club that isn’t properly licensed can get the dancer and/or the patron arrested. Of course everyone will say they are licensed, but how do you make an intelligent choice? Here are three cautionary situations to look for:

1) How often is the club shut down, raided, or inspected by authorities? More than a few times a year and you should be asking yourself some questions about what they’re doing and why they’d attract so much attention.

2) Do the dancers need look outs? If a dancer tells you that you have to be given a dance behind other dancers, or if the door has to be watched, you should definitely NOT get lap dances at that club. That kind of behavior betrays a sense of guilt or anxiety bred by concern for repercussions that wouldn’t exist if the club in question is properly licensed.

3) If dancers have to be convinced or tempted with unusually high fees to give you a dance, you should stop asking for one. Dancers should be willing to give dances - if they aren’t, there’s a reason. If they push hard to give you a dance outside of the club it’s possibly because they can’t give you one on site.

First, I am not advocating prostitution. Second, I’m also not judging it. I’m simply going to ask you some (biased) questions that may help you to decide whether or not you want to leave the club and go to a private place:

1. Do you really need the money that badly? It’s just money, afterall. Are you being greedy or lazy? Isn’t there some other way you could make the money? Do you need such a large amount of money (assuming that you’re charging what you’re worth, which is way more than $50)? What is the cycle you are starting by doing this?
2. Have you evaluated all the risks? The legalities aside (which are problematic enough), do you know you’d be safe? At the club there are security personnel, staff, bartenders, and witnesses. Do you feel safe leaving that behind to make extra money? Even if the amount offered sounds like alot, is that amount of money worth your safety?
3. Do you know the person? How can you be sure you’re not being entrapped by a police officer? Be particularly wary of attractive men whom you’ve never seen before. Learn from George Michael’s mistakes (all of them).
4. Do you intend to use protection in this encounter? Nothing is full proof, but condoms help reduce the risk of catching many unpleasant diseases (not all of them, however). Even if this person doubles their offer to go raw, will that amount of money be enough to pay for your medical treatment if you end up needing it?
5. By doing this, will you be violating the rule that you should avoid doing anything that will cause you embarrassment, shame, pain, or guilt?

If you have read all these questions and still think leaving the club is okay, then that is the choice you are left with. However, my suggestion is that you think carefully before you commit to anything. This isn’t an issue of being a prude - it’s an issue of being practical. Know your values and stick with them, whatever they are. That is essential in any job, but particularly important in this one.