Trans health

Resources for transgender, non-binary, and TGNCI+ people who use drugs

We may be facing hardship, but we are determined to come out stronger than ever.

Support groups
TransCare

Gender-affirming care and support. Call 415-437-3456.

0https://www.sfaf.org/services/sexual-health-and-testing/transcare/internalURLTransCareGender-affirming care and support. Call 415-437-3456.Support groupsd
Support groups
TransLife

Social events, group support, and counseling. Email sbaltierrez@sfaf.org or astephens@sfaf.org.

0https://www.sfaf.org/programs/translife/internalURLTransLifeSocial events, group support, and counseling. Email sbaltierrez@sfaf.org or astephens@sfaf.org.Support groupsd
Support groups
The Stonewall Project

Get substance use counseling and support. Email stonewall@sfaf.org or call 415-487-3100.

0https://www.sfaf.org/programs/stonewall-project/internalURLThe Stonewall ProjectGet substance use counseling and support. Email stonewall@sfaf.org or call 415-487-3100.Support groupsd
Overdose prevention
6th Street Harm Reduction Center

Free safer drug use supplies and info. 117 6th Street (between Mission and Minna).

0https://www.sfaf.org/about-us/locations-hours/#hrcinternalURL6th Street Harm Reduction CenterFree safer drug use supplies and info. 117 6th Street (between Mission and Minna).Overdose preventiond
Overdose prevention
Safer ways to use GHB

Using the right dose is a key issue with GHB. It’s known for having a very narrow range between a “normal” dose and one that can be dangerous.

1https://www.sfaf.org/resource-library/harm-reduction-overdose-prevention-ghb/internalURLSafer ways to use GHBUsing the right dose is a key issue with GHB. It’s known for having a very narrow range between a “normal” dose and one that can be dangerous.Overdose preventiond
Overdose prevention
Safer ways to use Fentanyl

Injecting has the highest risk of overdose. When you inject, use new equipment each time and choose a needle gauge and length that is best for the location where you are injecting.

2https://www.sfaf.org/resource-library/harm-reduction-overdose-prevention-fentanyl/internalURLSafer ways to use FentanylInjecting has the highest risk of overdose. When you inject, use new equipment each time and choose a needle gauge and length that is best for the location where you are injecting.Overdose preventiond
Overdose prevention
Safer ways to use Meth

There are some serious things that can happen to your body when taking crystal meth. It is possible to overdose on crystal meth.

3https://www.sfaf.org/resource-library/harm-reduction-overdose-prevention-crystal-meth/internalURLSafer ways to use MethThere are some serious things that can happen to your body when taking crystal meth. It is possible to overdose on crystal meth.Overdose preventiond
Overdose prevention
Safer ways to use Ketamine

Using ketamine can cause serious harm to the bladder. If you notice bladder pain or blood in urine after ketamine use, or if your need to pee increases significantly, seek medical help. Staying really well hydrated when using ketamine can help prevent damage to your bladder—so drink plenty of water!

4https://www.sfaf.org/resource-library/harm-reduction-overdose-prevention-ketamine/internalURLSafer ways to use KetamineUsing ketamine can cause serious harm to the bladder. If you notice bladder pain or blood in urine after ketamine use, or if your need to pee increases significantly, seek medical help. Staying really well hydrated when using ketamine can help prevent damage to your bladder—so drink plenty of water!Overdose preventiond
Overdose prevention
Safer ways to use Cocaine

A small percentage of people who use cocaine may suffer from sudden cardiac arrest. This is a fairly rare event, but anyone with existing heart problems may be at an increased risk. Using with other people who are prepared to respond in case of an emergency is one way to reduce risk.

5https://www.sfaf.org/resource-library/harm-reduction-overdose-prevention-cocaine/internalURLSafer ways to use CocaineA small percentage of people who use cocaine may suffer from sudden cardiac arrest. This is a fairly rare event, but anyone with existing heart problems may be at an increased risk. Using with other people who are prepared to respond in case of an emergency is one way to reduce risk.Overdose preventiond
Overdose prevention
Safer ways to use Crack

Take care of your lips! Smoking crack can cause burns or sores on your lips. If you end up sharing pipes with other people, you can transmit things like hepatitis C if blood ends up on the pipe and then someone else uses it. Use chapstick to help protect your lips.

6https://www.sfaf.org/resource-library/harm-reduction-overdose-prevention-crack/internalURLSafer ways to use CrackTake care of your lips! Smoking crack can cause burns or sores on your lips. If you end up sharing pipes with other people, you can transmit things like hepatitis C if blood ends up on the pipe and then someone else uses it. Use chapstick to help protect your lips.Overdose preventiond
Overdose prevention
Safer ways to use Poppers

Using poppers with Viagra is very dangerous and can cause a stroke.

7https://www.sfaf.org/resource-library/harm-reduction-overdose-prevention-poppers-whippits/internalURLSafer ways to use PoppersUsing poppers with Viagra is very dangerous and can cause a stroke.Overdose preventiond
Overdose prevention
Safer ways to use Whippits

Doing several whippits in a row, without breathing, can be very dangerous. You won’t feel like you’re suffocating, but you could experience permanent damage to your brain and your body. Take breaks and breathe full breaths of air between whippits!

8https://www.sfaf.org/resource-library/harm-reduction-overdose-prevention-poppers-whippits/internalURLSafer ways to use WhippitsDoing several whippits in a row, without breathing, can be very dangerous. You won’t feel like you’re suffocating, but you could experience permanent damage to your brain and your body. Take breaks and breathe full breaths of air between whippits!Overdose preventiond
Overdose prevention
Tips for overdose prevention and using drugs more safely

When you’re using drugs with other people, be sure to be as clear as possible about who is taking what. This can help avoid dangerous drug mix-ups that could lead to accidental overdose.

9https://www.sfaf.org/resource-library/harm-reduction-overdose-prevention-safer-use/internalURLTips for overdose prevention and using drugs more safelyWhen you’re using drugs with other people, be sure to be as clear as possible about who is taking what. This can help avoid dangerous drug mix-ups that could lead to accidental overdose.Overdose preventiond
Overdose prevention
Responding to opiate overdose

Many people who use drugs are experts in overdose response, and many of us have reversed overdoses of friends, loved ones, and strangers. It doesn’t get any easier the more we do it. It’s hard. It’s draining. It’s intense. Despite this, it’s a meaningful experience to be prepared to save someone’s life. In fact, there’s a whole community of individuals who are willing to be ready at a moment’s notice to administer Narcan and respond to an opioid overdose. We don’t want anyone else to die in our arms.

10https://www.sfaf.org/resource-library/harm-reduction-overdose-prevention-responding-to-overdose/internalURLResponding to opiate overdoseMany people who use drugs are experts in overdose response, and many of us have reversed overdoses of friends, loved ones, and strangers. It doesn’t get any easier the more we do it. It’s hard. It’s draining. It’s intense. Despite this, it’s a meaningful experience to be prepared to save someone’s life. In fact, there’s a whole community of individuals who are willing to be ready at a moment’s notice to administer Narcan and respond to an opioid overdose. We don’t want anyone else to die in our arms.Overdose preventiond
Overdose prevention
How to administer Narcan/Naloxone

Read steps on how to administer Narcan, get prevention tips, and download our brochure.

11https://www.sfaf.org/resource-library/how-to-prevent-respond-overdose/internalURLHow to administer Narcan/NaloxoneRead steps on how to administer Narcan, get prevention tips, and download our brochure.Overdose preventiond
Support groups
Queer LifeSpace

Provides affordable queer mental health services for the LGBTQIA+ community in San Francisco and beyond.

12https://www.queerlifespace.org/externalURLQueer LifeSpaceProvides affordable queer mental health services for the LGBTQIA+ community in San Francisco and beyond.Support groupshttps://pbs.twimg.com/profile_images/2439319311/iy8qyqegnqnro1l1e0tc_400x400.jpegd
Support groups
Oakland LGBTQ Center Transgender Support

The Center’s Transgender Support Services, offer trauma informed opportunities to support, educate, empower, house and employ our transgender community members.

13https://www.oaklandlgbtqcenter.org/transgender-supportexternalURLOakland LGBTQ Center Transgender SupportThe Center’s Transgender Support Services, offer trauma informed opportunities to support, educate, empower, house and employ our transgender community members.Support groupshttps://scontent-sjc3-1.xx.fbcdn.net/v/t31.18172-1/21992867_151788325417795_5684751958519978553_o.jpg?stp=dst-jpg_p320x320&_nc_cat=107&ccb=1-7&_nc_sid=1eb0c7&_nc_ohc=jDDHnlPqtBUAX8E342l&_nc_ht=scontent-sjc3-1.xx&oh=00_AfDYwjT2uZx6c0G8Dr4HvYOiYQBqWqplxYoEVoYl2aOB6Q&oe=64291668d
Support groups
SF Community Health Center Trans Thrive

Trans Thrive now includes all services provided for the Trans/GNC community at SF Community Health Center.

14https://sfcommunityhealth.org/program/trans-thrive/externalURLSF Community Health Center Trans ThriveTrans Thrive now includes all services provided for the Trans/GNC community at SF Community Health Center.Support groupshttps://sfcommunityhealth.org/wp-content/uploads/2018/05/TransThrive_Logo2015_Vector-768×565.pngd
Trans health
List of Trans Health Clinics

A list of organizations that provide health clinics that specialize in trans health care, including primary medical care and support services.

15http://www.trans-health.com/clinics/externalURLList of Trans Health ClinicsA list of organizations that provide health clinics that specialize in trans health care, including primary medical care and support services.Trans healthhttps://pbs.twimg.com/profile_images/1730235371/twitter-avatar_400x400.jpgd
Trans health
Bay Area Community Health

A non-profit health center providing a diverse spectrum of healthcare services and education.

16https://chcnetwork.org/health-center/bay-area-community-health-center/externalURLBay Area Community HealthA non-profit health center providing a diverse spectrum of healthcare services and education.Trans healthd
Trans health
LifeLong Medical Care

LifeLong Medical Care provides high-quality health, dental, and social services to underserved people of all ages.

17https://lifelongmedical.org/externalURLLifeLong Medical CareLifeLong Medical Care provides high-quality health, dental, and social services to underserved people of all ages.Trans healthhttps://pbs.twimg.com/profile_images/1280987475360411648/tF_BTpvU_400x400.jpgd
Trans health
San Francisco Community Health Center Transgender Health

Sliding scale, down to free if you’re uninsured and have no income. Accepts many forms of insurance including MediCal, Blue Cross, and Blue Shield.

18https://sfcommunityhealth.org/medical-service/transgender-health/externalURLSan Francisco Community Health Center Transgender HealthSliding scale, down to free if you’re uninsured and have no income. Accepts many forms of insurance including MediCal, Blue Cross, and Blue Shield.Trans healthhttps://sfcommunityhealth.org/wp-content/themes/sfcommunityhealthcenter/dist/images/logo.pngd
Trans health
STRIDE: Transgender Hormone Therapy Program

Likely free or sliding scale since it’s grant-funded. Peer-based program tailored to the needs of transgender Sex Workers.

19https://www.stjamesinfirmary.org/wordpress/?page_id=16externalURLSTRIDE: Transgender Hormone Therapy ProgramLikely free or sliding scale since it’s grant-funded. Peer-based program tailored to the needs of transgender Sex Workers.Trans healthhttps://pbs.twimg.com/profile_images/1063211809748877313/DwsPnhtV_400x400.jpgd
Trans health
Lyon-Martin Health Services

Accepts Blue Cross Blue Shield MediCal and San Francisco County insurance. No fees if you’re uninsured and have no income.

20https://lyon-martin.org/externalURLLyon-Martin Health ServicesAccepts Blue Cross Blue Shield MediCal and San Francisco County insurance. No fees if you’re uninsured and have no income.Trans healthd
Trans health
Clinicians Who Provide Letters

Find mental health providers who are willing to write people letters to start hormones and/or have surgery after one session.

21https://vanethanlevy.com/providers/externalURLClinicians Who Provide LettersFind mental health providers who are willing to write people letters to start hormones and/or have surgery after one session.Trans healthd
Trans health
The Gender Affirming Letter Access Project

The GALAP is a grassroots, volunteer project that aims to increase access to free letters for gender-affirming medical care.

22https://thegalap.org/need-a-letter/externalURLThe Gender Affirming Letter Access ProjectThe GALAP is a grassroots, volunteer project that aims to increase access to free letters for gender-affirming medical care.Trans healthd
Crisis support
Trans Lifeline

Provides trans peer support for our community that’s been divested from police since day one. Run by and for trans people.

23https://www.translifeline.org/externalURLTrans LifelineProvides trans peer support for our community that’s been divested from police since day one. Run by and for trans people.Crisis supportd
Crisis support
The Trevor Project

Trained counselors that understand the challenges LGBTQ young people face.

24https://www.thetrevorproject.org/get-help/externalURLThe Trevor ProjectTrained counselors that understand the challenges LGBTQ young people face.Crisis supportd
Community
St. James Infirmary Sex Work Resources

Peer-based public health initiatives for sex workers.

25https://www.stjamesinfirmary.org/wordpress/?page_id=43externalURLSt. James Infirmary Sex Work ResourcesPeer-based public health initiatives for sex workers.Communityd
Community
Refuge Restrooms

Locate gender neutral restrooms near you.

26https://www.refugerestrooms.org/externalURLRefuge RestroomsLocate gender neutral restrooms near you.Communityd
Community
Sex work & harm reduction

Resources from the National Harm Reduction Coalition

27https://harmreduction.org/issues/sex-work/externalURLSex work & harm reductionResources from the National Harm Reduction CoalitionCommunityd
Community
Grief & Loss / Resilience

A care package from Transgender Law Center

28https://transgenderlawcenter.org/resources/carepackageexternalURLGrief & Loss / ResilienceA care package from Transgender Law CenterCommunityd
Community
DIY Hormone Replacement Therapy (HRT) Directory

Transfem and transmasc guides, plus info on blood testing, injection supplies, and more.

29https://diyhrt.wiki/transfemexternalURLDIY Hormone Replacement Therapy (HRT) DirectoryTransfem and transmasc guides, plus info on blood testing, injection supplies, and more.Communityd