Care, peer support, sexual-health services, digital-safety assistance, and practical support for adult performers, independent creators, and sex workers.
Start with the service that fits your situation and location. Check each provider’s current eligibility, availability, fees, and privacy terms before sharing personal information. This directory is educational and does not replace individual medical or legal advice.
Mental health & peer support
Pineapple Support — international online-adult-industry support
Provides access to sex-worker-affirming therapy, emotional support, and groups. Individual therapy is offered on a pay-what-you-can basis, with eligibility requirements relating to recent online-adult-industry work and experience. Its 24/7 emotional-support option is separate from scheduled professional therapy. Pineapple’s policies state that its services are not for emergencies, and clinicians may not be available for urgent or same-day care.
Read Pineapple’s eligibility and service policies.
SWOP Behind Bars — community support & referrals
The Sex Worker Community Support Line is staffed by sex-worker and survivor peers and helps connect people with industry-friendly resources. SWOP Behind Bars also focuses on incarcerated people and people returning to the community. Its official site lists call and text access at 1-877-776-2004. Peer support is distinct from licensed clinical care; check current response availability directly.
Physical & sexual health
San Francisco City Clinic — San Francisco, California
A public sexual-health clinic offering STI and HIV testing, treatment, prevention, and related services. It serves the broader community rather than adult workers exclusively. Confirm the appropriate appointment, eligibility, and any charges directly with the clinic.
CLASH & SHOC — London, UK
NHS specialist sexual-health services and outreach for sex workers. Services include sexual-health and blood-borne-virus testing and support designed around privacy and access. Clinics and outreach cover specific London areas; check locations, booking instructions, and current hours.
Open Doors — East London, UK
A clinical, case-management, and outreach service for sex workers in East London. It can help people access sexual-health information, testing, treatment, prevention, and support following sexual assault, including people regardless of immigration status.
PASS — performer testing & work-clearance information
Performer Availability Screening Services develops industry testing protocols and operates a work-clearance database. Under its published protocol, a complete non-reactive panel provides 14-day clearance from specimen collection. This is a participating-industry protocol, not a universal legal mandate. Testing has detection windows and cannot guarantee absence of infection or replace individualized healthcare. Use the current PASS protocol and testing-partner directory.
Testing partners & information →
Read the current PASS panel and protocol.
Workplace rights, digital safety & advocacy
Adult Performance Artists Guild (APAG) — worker organizing
A performer-led labor organization representing adult performers, creators, webcam workers, and other adult performance workers. Its work includes organizing, education, fair practices, wages, and occupational discrimination. Contact APAG about current membership support; it should not be presented as a clinical counseling service.
SWOP-USA — community advocacy & local connections
A national grassroots network focused on sex-worker rights, safety, autonomy, education, and community support. Local programs vary. Use its official site to find current programs and connections; general advocacy resources do not establish an attorney-client relationship.
Cyber Civil Rights Initiative (CCRI) — image-based abuse support
The CCRI Safety Center provides practical resources for people affected by nonconsensual intimate-image sharing, recorded sexual assault, and sextortion, including documentation guidance and legal-resource links. Its free U.S. Image Abuse Helpline is 1-844-878-2274, available 24/7. International resources are also linked on its site.
Mutual aid & material support
SWAID Collective — sex-worker-led mutual aid
Offers microgrants and harm-reduction or other practical supplies for sex workers. Funding is limited: its site describes verification, first-come-first-served distribution, and a waitlist when funds are unavailable. Check current eligibility, service area, and availability before relying on assistance.
A note on older resource lists
St. James Infirmary was a pioneering San Francisco health organization built by and for sex workers. It announced closure in 2023 and is not listed here as an active clinic. This directory uses currently identifiable services instead of unverified listings for “Hook” or “Badaya.”
For an immediate medical emergency or immediate danger, contact local emergency services. Peer lines, grant applications, and routine appointment requests may not provide an immediate response.
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Service information checked October 29, 2026. Inclusion does not imply affiliation or endorsement.
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