OUR IMPACT

Botanical Bus clients at a vineyard worksite mobile clinic

MOBILE CLINIC

1
In 2024, we organized 27 mobile clinic events in Santa Rosa, Guerneville and Sonoma Valley at vineyard worksites and family service centers to provide 439 clients with 1,917 direct healthcare services. Botanical Bus mobile clinic events are scheduled during paid shifts at vineyard worksites and on regular Saturdays at trusted family service center community hubs.

At the Botanical Bus clinics, we weave culture into every step of the process. Clients are welcomed with music, herbal tea and traditional foods. Clinical intake is guided by an opening blessing circle and exit surveys accompanied by a tamale meal. In a closing circle, clients and care providers are invited to share gratitude for the opportunity to learn from one another. At our last clinic of the year, two clients, a married couple who attended nine clinics in 2024, brought  five-gallon pails filled to the brim with fragrant black walnuts they had hand-harvested to share. The clients, who identify as local tribal elders, accessed resource navigation services and healthcare for aging, including nutrition, herbalism, acupuncture and other manual therapies to support joint pain, heart health, mood and energy. By sharing their harvest, they brought reciprocity to the radical act of receiving care.
Another return client, who attended 18 Botanical Bus clinics in 2024 and 39 since she first joined us in 2022, sought care for an abscess. As an immigrant woman, she seeks out care with the Botanical Bus because it aligns with her cultural understanding of wellbeing in connection to traditional foods and plant medicines. We provided wound care and internal herbal medicine to support the client’s healing while she navigated stressful changes in her life. We know that emotional health affects the immune system—our bodies' innate ability to manage inflammation and repair tissue—and we took a holistic approach to support her healing. Her abscess healed quickly, and she learned new wound-care strategies alongside self-care practices for her mental health.
In an anonymous exit survey, another client shares:
“Mi vida ha cambiado para mejor y así mejora mi familia. [My life has changed for the better and this is how I can, in turn, better the lives of my family]”.
One of the unique opportunities at the clinic is to care for families together. These consults always feel special because family systems hold so much depth. Patterns are often shared, and healing in community can be powerful. After their mother’s death, two sisters—one of whom has been a volunteer language interpreter with us for over four years—attended the clinic together. They sought support as each navigated grief in her own way. One sister has a disability, and the other became her caregiver after their mother’s passing. These were significant changes for both of them, not just because of their loss but due to the role changes in their lives. Our trusted care supported their lived experience, relationship and individual needs.   In one year of receiving bilingual, bicultural healthcare services at Botanical Bus mobile clinic, 93% of return clients experienced self-affirming, improved health outcomes and 52% of clients without established primary care were referred into regional Federally Qualified Health Centers (FQHCs). One Botanical Bus client shares:
Mi vida regresó desde que vine a estas terapias con muchas ganas de seguir adelante y contenta. Me gustó sentirme acompañada. ¡El convivir sana! [My life has returned since I came to these therapies, with great desire to move forward and be happy. I like feeling accompanied. Coming together heals!]”

1- Lu Lu Perez Centurion (CHW), founder of Botanical Bus’ Planting Seeds of Self Care program, offers a blessing during opening circle at a mobile clinic

2- Client receives acupuncture at a Botanical Bus mobile clinic

 

OUR IMPACT

Botanical Bus clients at a vineyard worksite mobile clinic

MOBILE CLINIC

1
In 2024, we organized 27 mobile clinic events in Santa Rosa, Guerneville and Sonoma Valley at vineyard worksites and family service centers to provide 439 clients with 1,917 direct healthcare services. Botanical Bus mobile clinic events are scheduled during paid shifts at vineyard worksites and on regular Saturdays at trusted family service center community hubs.

At the Botanical Bus clinics, we weave culture into every step of the process. Clients are welcomed with music, herbal tea and traditional foods. Clinical intake is guided by an opening blessing circle and exit surveys accompanied by a tamale meal. In a closing circle, clients and care providers are invited to share gratitude for the opportunity to learn from one another. At our last clinic of the year, two clients, a married couple who attended nine clinics in 2024, brought  five-gallon pails filled to the brim with fragrant black walnuts they had hand-harvested to share. The clients, who identify as local tribal elders, accessed resource navigation services and healthcare for aging, including nutrition, herbalism, acupuncture and other manual therapies to support joint pain, heart health, mood and energy. By sharing their harvest, they brought reciprocity to the radical act of receiving care.
Another return client, who attended 18 Botanical Bus clinics in 2024 and 39 since she first joined us in 2022, sought care for an abscess. As an immigrant woman, she seeks out care with the Botanical Bus because it aligns with her cultural understanding of wellbeing in connection to traditional foods and plant medicines. We provided wound care and internal herbal medicine to support the client’s healing while she navigated stressful changes in her life. We know that emotional health affects the immune system—our bodies' innate ability to manage inflammation and repair tissue—and we took a holistic approach to support her healing. Her abscess healed quickly, and she learned new wound-care strategies alongside self-care practices for her mental health.
In an anonymous exit survey, another client shares:
“Mi vida ha cambiado para mejor y así mejora mi familia. [My life has changed for the better and this is how I can, in turn, better the lives of my family]”.
One of the unique opportunities at the clinic is to care for families together. These consults always feel special because family systems hold so much depth. Patterns are often shared, and healing in community can be powerful. After their mother’s death, two sisters—one of whom has been a volunteer language interpreter with us for over four years—attended the clinic together. They sought support as each navigated grief in her own way. One sister has a disability, and the other became her caregiver after their mother’s passing. These were significant changes for both of them, not just because of their loss but due to the role changes in their lives. Our trusted care supported their lived experience, relationship and individual needs.   In one year of receiving bilingual, bicultural healthcare services at Botanical Bus mobile clinic, 93% of return clients experienced self-affirming, improved health outcomes and 52% of clients without established primary care were referred into regional Federally Qualified Health Centers (FQHCs). One Botanical Bus client shares:
Mi vida regresó desde que vine a estas terapias con muchas ganas de seguir adelante y contenta. Me gustó sentirme acompañada. ¡El convivir sana! [My life has returned since I came to these therapies, with great desire to move forward and be happy. I like feeling accompanied. Coming together heals!]”

1-Lu Lu Perez Centurion (CHW), founder of Botanical Bus’ Planting Seeds of Self Care program, offers a blessing during opening circle at a mobile clinic

2- Client receives acupuncture at a Botanical Bus mobile clinic

Attendance & Services

March- November 2024

0

Total Clinics

0

Clinic Attendance by Client Visit

0

Total Unduplicated Clients

0

Number of health services provided

Demographics & Health Conditions

Age
(% of clients)
Preferred Language
(% of reporting clients)
Ethnicity
(% of reporting clients)
Gender
(% of reporting clients)
High Level: Anxiety
and/or Depression
(% of reporting clients)
High Level: Pain
(% of reporting clients)
0–17 (4%)
18–24 (5%)
25–34 (13%)
35–44 (21%)
45–54 (26%)
55–64 (19%)
65+ (12%)
82% Spanish;
17% English;
1% decline to state
93% Latine
5% White
1% Black or African American
1% Other
88% Women
12% Men
20%
72%

Barriers to Accessing Health Resources

Access to Health
Insurance
(% of reporting clients)
Access to Established
Primary Healthcare
(% of reporting clients)
Access to Food
(% of reporting
clients)
Language Barriers
(% of reporting clients)
Trust Barriers
(% of reporting clients)
Transportation Barriers
(% of reporting clients
17% without health insurance
19% without established primary healthcare
17% with limited food access
51%
40%
23%

WELLNESS WORKSHOPS

2

1- Lu Lu Perez Centurion (CHW), founder of Botanical Bus’ Planting Seeds of Self Care program, leads a wellness workshop at a vineyard worksite

2-  Norma Rico (CHW), co-facilitator of Botanical Bus’ Present to Nourish Us program, serves black beans prepared with avocado leaves and shares her recipe with workshop participants

 

In 2024, we organized 80 Wellness Workshops (total attendance 1,149) to reach 774 unduplicated clients at vineyard worksites, farmworker housing, offices of legal access programs, FQHCs, schools and family service centers throughout Sonoma County. The following monthly series offer unique topics per session, determined by community needs assessments and Promotora CHW expertise:

  • ¡Presente para Nutrirnos! [Present to Nourish Us!]:

    Whole, accessible Indigenous foods and traditional recipes for type two diabetes prevention and care.

  • Sembrando Semillas de Autocuidado [Planting Seeds of Selfcare]:

    Indigenous herbalism and cycles of healing connected to the seasons.

  • Reposo en Respiración [Rest in Your Breath]:

    Breathwork and meditation for inner strength and stress relief.

  • Cuidando los Cuidadores [Caring for Care Providers]:

    Herbal medicine and mindfulness practices that center our own unique sense of wellbeing and commitment to self-care as essential to care-providing.

  • Creatividad Consciente [Conscious Creativity]:

    mindfulness-based art therapy for inner strength and creative self-expression

  • Ciclos de Sanación [Healing Cycles]:

    Feminine care connected to natural healing cycles.

One Botanical Bus client shares:

Viví una experiencia muy bonita, encontré paz en el grupo y mucha conexión con cada una de las personas. También me sentí conectada conmigo misma.

[I had a wonderful experience. I found peace in the group and a deep connection with each person. I also felt connected to myself]

WELLNESS WORKSHOPS

2

1- Lu Lu Perez Centurion (CHW), founder of Botanical Bus’ Planting Seeds of Self Care program, leads a wellness workshop at a vineyard worksite

2-  Norma Rico (CHW), co-facilitator of Botanical Bus’ Present to Nourish Us program, serves black beans prepared with avocado leaves and shares her recipe with workshop participants

In 2024, we organized 80 Wellness Workshops (total attendance 1,149) to reach 774 unduplicated clients at vineyard worksites, farmworker housing, offices of legal access programs, FQHCs, schools and family service centers throughout Sonoma County. The following monthly series offer unique topics per session, determined by community needs assessments and Promotora CHW expertise:

  • ¡Presente para Nutrirnos! [Present to Nourish Us!]:

    Whole, accessible Indigenous foods and traditional recipes for type two diabetes prevention and care.

  • Sembrando Semillas de Autocuidado [Planting Seeds of Selfcare]:

    Indigenous herbalism and cycles of healing connected to the seasons.

  • Reposo en Respiración [Rest in Your Breath]:

    Breathwork and meditation for inner strength and stress relief.

  • Cuidando los Cuidadores [Caring for Care Providers]:

    Herbal medicine and mindfulness practices that center our own unique sense of wellbeing and commitment to self-care as essential to care-providing.

  • Creatividad Consciente [Conscious Creativity]:

    mindfulness-based art therapy for inner strength and creative self-expression

  • Ciclos de Sanación [Healing Cycles]:

    Feminine care connected to natural healing cycles.

One Botanical Bus client shares:

Viví una experiencia muy bonita, encontré paz en el grupo y mucha conexión con cada una de las personas. También me sentí conectada conmigo misma.

[I had a wonderful experience. I found peace in the group and a deep connection with each person. I also felt connected to myself

PROMOTORAS

PROMOTORAS3

The Botanical Bus is founded and led by Latine and Indigenous Promotora CHWs, many of whom identify as Campesinas [people who know and work the land]. Development of the Promotora CHW workforce is a direct investment in the Latine and Indigenous community we serve. 100% of our staff identify as Latine and/or Indigenous and 100% as Spanish-speaking. Lu Lu, founder of Botanical Bus’ Planting Seeds of Self Care program, shares: “I am doing my life’s work.”

 

In 2024, we provided our team of seven Promotora CHWs with 103 hours of paid training in CHW certification, trauma-informed group facilitation, and self-understanding, healing and growth for mental health practitioners. In addition to our paid training program, Botanical Bus Promotora CHWs receive an education benefit towards tuition costs of continued education and certification programs. 

 

Healing Harvest Program:

Botanical Bus Promotora CHWs participate in a Healing Harvest Program, launched by Botanical Bus in 2022 in partnership with Traditional Medicinals Foundation at Green Valley Mill + Farm, a .65 acre, 100- varietal herb farm located in West Sonoma County. In its third year, the program has had the following impact:

Job Creation for Promotora Community Health Workers (CHWs)

The program creates a part-time paid position with the Botanical Bus to facilitate the harvest, processing and distribution of local, organically grown herbal medicine through our mobile clinic. The position is currently filled by Juliana Jimenez, Indigenous woman and certified CHW. Juliana leads the Botanical Bus wellness workshop series, “¡Presente para Nutrirnos! [Present to Nourish Ourselves!]”, which centers Indigenous foods in diabetes support and prevention. Juliana works 12 hours a week tending the land and harvesting herbal medicine. She shares:
My work with the Healing Harvest program allows me to connect to the earth.  This is our best medicine.”

Land-Based Convivencia Training Program

The program includes quarterly, land-based learning retreats for Botanical Bus staff and herbal apprentices. The Botanical Bus Promotora CHWs and herbal apprentices all identify as Latine and Indigenous people, the majority of whom have limited access to land where they can practice intergenerational knowledge of cultivating herbal medicine.


In 2024, themes for the gatherings—chosen by group interest and consensus—included: Family Bonfire, Herbal Safety, Origin Stories, and Roots Harvest.

Local Organic Herbal Medicine Harvest

Our harvest supports the distribution of herbal medicine at Botanical Bus mobile clinics, wellness workshops and beyond. In 2024 we harvested and processed over 63lbs (1,013 oz) of dried medicinal herbs including: turmeric root, marshmallow leaf and root, chamomile flower, calendula flower, tulsi leaf, willow bark, rosemary and yarrow.

 

These herbs and more were blended into tea to support individual client health concerns and seasonal tea blends to support immunity and emotional wellbeing served at Botanical Bus clinics. We also distributed dried herbs in interactive make-your-own tea blend activities at food banks, wellness fairs and healthcare summits.

 

In sourcing local, organic herbal medicine, the Botanical Bus commits to sustainability, connects our programs to the earth, and provides Promotora CHWs the powerful opportunity to tend the land. 

 1- Lu Lu Perez Centurion (CHW) founder of Botanical Bus’ Planting Seeds of Self Care program

2- Lu Lu Perez Centurion and Norma Rico, Botanical Bus Community Health Workers, register clients for services at a mobile clinic

3- Juliana Jimenez (CHW), founder of Botanical Bus’ Present to Nourish Us program and Daniela Myers-Guzman, Botanical Bus Wellness Workshop Coordinator, harvest fresh turmeric

PROMOTORAS

PROMOTORAS3

The Botanical Bus is founded and led by Latine and Indigenous Promotora CHWs, many of whom identify as Campesinas [people who know and work the land]. Development of the Promotora CHW workforce is a direct investment in the Latine and Indigenous community we serve. 100% of our staff identify as Latine and/or Indigenous and 100% as Spanish-speaking. Lu Lu, founder of Botanical Bus’ Planting Seeds of Self Care program, shares: “I am doing my life’s work.”

 

In 2024, we provided our team of seven Promotora CHWs with 103 hours of paid training in CHW certification, trauma-informed group facilitation, and self-understanding, healing and growth for mental health practitioners. In addition to our paid training program, Botanical Bus Promotora CHWs receive an education benefit towards tuition costs of continued education and certification programs. 

 

Healing Harvest Program:

Botanical Bus Promotora CHWs participate in a Healing Harvest Program, launched by Botanical Bus in 2022 in partnership with Traditional Medicinals Foundation at Green Valley Mill + Farm, a .65 acre, 100- varietal herb farm located in West Sonoma County. In its third year, the program has had the following impact:

Job Creation for Promotora Community Health Workers (CHWs)

The program creates a part-time paid position with the Botanical Bus to facilitate the harvest, processing and distribution of local, organically grown herbal medicine through our mobile clinic. The position is currently filled by Juliana Jimenez, Indigenous woman and certified CHW. Juliana leads the Botanical Bus wellness workshop series, “¡Presente para Nutrirnos! [Present to Nourish Ourselves!]”, which centers Indigenous foods in diabetes support and prevention. Juliana works 12 hours a week tending the land and harvesting herbal medicine. She shares:
My work with the Healing Harvest program allows me to connect to the earth.  This is our best medicine.”

Land-Based Convivencia Training Program

The program includes quarterly, land-based learning retreats for Botanical Bus staff and herbal apprentices. The Botanical Bus Promotora CHWs and herbal apprentices all identify as Latine and Indigenous people, the majority of whom have limited access to land where they can practice intergenerational knowledge of cultivating herbal medicine.


In 2024, themes for the gatherings—chosen by group interest and consensus—included: Family Bonfire, Herbal Safety, Origin Stories, and Roots Harvest.

Local Organic Herbal Medicine Harvest

Our harvest supports the distribution of herbal medicine at Botanical Bus mobile clinics, wellness workshops and beyond. In 2024 we harvested and processed over 63lbs (1,013 oz) of dried medicinal herbs including: turmeric root, marshmallow leaf and root, chamomile flower, calendula flower, tulsi leaf, willow bark, rosemary and yarrow.

 

These herbs and more were blended into tea to support individual client health concerns and seasonal tea blends to support immunity and emotional wellbeing served at Botanical Bus clinics. We also distributed dried herbs in interactive make-your-own tea blend activities at food banks, wellness fairs and healthcare summits.

 

In sourcing local, organic herbal medicine, the Botanical Bus commits to sustainability, connects our programs to the earth, and provides Promotora CHWs the powerful opportunity to tend the land. 

 1- Lu Lu Perez Centurion (CHW) founder of Botanical Bus’ Planting Seeds of Self Care program

2- Lu Lu Perez Centurion and Norma Rico, Botanical Bus Community Health Workers, register clients for services at a mobile clinic

3- Juliana Jimenez (CHW), founder of Botanical Bus’ Present to Nourish Us program and Daniela Myers-Guzman, Botanical Bus Wellness Workshop Coordinator, harvest fresh turmeric

 

APRENTICESHIP AND VOLUNTEER PROGRAM

4

In recognition of the disproportionate access to education and certification programs in integrative health, Botanical Bus provides Latine and Indigenous herbalists pathways into clinical practice. In 2024, we were joined by seven apprentices who completed 180+ hours of paid training in mobile clinic administration and herbalism practice. 100% of 2024 apprentices will join us this coming year for continued training programs or in practice to provide specialized care in their own communities.


Apprentice, Marjorie, shares:


I bring folk healing practices rooted in collective care, where everyone contributes to supporting family and friends in need. In my culture, massages, shared cooking, and dancing together are considered forms of medicine. Reconnecting with herbs in Spanish has helped me better serve Latine and Indigenous communities. The Botanical Bus reinforced these practices by providing hands-on experience in community herbalism and opportunities to collaborate with other healers to deliver accessible care.’’ 

I bring folk healing practices rooted in collective care, where everyone contributes to supporting family and friends in need. In my culture, massages, shared cooking, and dancing together are considered forms of medicine. Reconnecting with herbs in Spanish has helped me better serve Latine and indigenous communities. The Botanical Bus reinforced these practices by providing hands-on experience in community herbalism and opportunities to collaborate with other healers to deliver accessible care.’’


Apprentices join our staff and an extended network of over 95 licensed/certified volunteer healthcare providers as equals in learning and offering cultural knowledge, lived experience, clinical practice and nourishing community.


Long-term Botanical Bus volunteer and acupuncturist, Yasi, shares:


I lived in Sonoma County for almost two decades and as a Middle Eastern refugee, I often struggled to find community.  From the first moment I came to a Botanical Bus clinic, I felt at home.  The warmth of everyone I encountered, the shared vision we held, and the similarities in our cultures were all a soothing balm to my soul. I often told people that I received as much or even more than I gave at each of the Saturday clinics I attended. Thank you for helping me find a sense of peace in my heart. I am excited to continue the work of breaking down the barriers underserved communities face in accessing care.”  

1- Botanical Bus Apprentice and Volunteer Clinical Herbalist provide collaborative care to a client at a mobile clinic

2- Herbal medicine prepared by Botanical Bus apprentice team at a mobile clinic

3- Sharing  fresh herbs in a closing circle at a mobile clinic

APRENTICESHIP AND VOLUNTEER PROGRAM

4
In recognition of the disproportionate access to education and certification programs in integrative health, Botanical Bus provides Latine and Indigenous herbalists pathways into clinical practice. In 2024, we were joined by seven apprentices who completed 180+ hours of paid training in mobile clinic administration and herbalism practice. 100% of 2024 apprentices will join us this coming year for continued training programs or in practice to provide specialized care in their own communities.
Apprentice, Marjorie, shares:
I bring folk healing practices rooted in collective care, where everyone contributes to supporting family and friends in need. In my culture, massages, shared cooking, and dancing together are considered forms of medicine. Reconnecting with herbs in Spanish has helped me better serve Latine and Indigenous communities. The Botanical Bus reinforced these practices by providing hands-on experience in community herbalism and opportunities to collaborate with other healers to deliver accessible care.’’ 
I bring folk healing practices rooted in collective care, where everyone contributes to supporting family and friends in need. In my culture, massages, shared cooking, and dancing together are considered forms of medicine. Reconnecting with herbs in Spanish has helped me better serve Latine and indigenous communities. The Botanical Bus reinforced these practices by providing hands-on experience in community herbalism and opportunities to collaborate with other healers to deliver accessible care.’’
Apprentices join our staff and an extended network of over 95 licensed/certified volunteer healthcare providers as equals in learning and offering cultural knowledge, lived experience, clinical practice and nourishing community.
Long-term Botanical Bus volunteer and acupuncturist, Yasi, shares:
 
I lived in Sonoma County for almost two decades and as a Middle Eastern refugee, I often struggled to find community.  From the first moment I came to a Botanical Bus clinic, I felt at home.  The warmth of everyone I encountered, the shared vision we held, and the similarities in our cultures were all a soothing balm to my soul. I often told people that I received as much or even more than I gave at each of the Saturday clinics I attended. Thank you for helping me find a sense of peace in my heart. I am excited to continue the work of breaking down the barriers underserved communities face in accessing care.”  

1- Botanical Bus Apprentice and Volunteer Clinical Herbalist provide collaborative care to a client at a mobile clinic

2- Herbal medicine prepared by Botanical Bus apprentice team at a mobile clinic

3- Sharing  fresh herbs in a closing circle at a mobile clinic