(Enclosure No. 6 to DepEd Memorandum No. 044, s.

2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Title of the Session Risk Assessment and Referral

SG Developer (First Kareen B. Arcenas, RGC
Name, MI, Last Name)
Doddie Marie L. Duclan, PhD, RGC
Professional Domain 6. Community Linkages and Professional
Standards Covered Engagement
(Domain/s, Strand/s,
and Indicator/s)
Strand 6.4 School policies and procedures

Indicator: 6.2.3 Guide colleagues to strengthen

relationships with parents/guardians and the wider school
community to maximize their involvement in the educative
process.
Session Schedule and Day 3 Module 5; 1:00-5:00PM/180 Minutes
Duration
Objectives At the end of the sessions, the participants will be able to:

1. identify potential risks among learners;

2. use appropriate and approved risk assessment tools
in making learner referrals; and
3. appreciate systematic management of
risk by recommending a sound referral process in
the school context.
Expected Outputs 1. Referral flowchart for common cases in the school
context; or
2. Infographic video of referral process for common cases in
the context
1. Legal Bases for Risk Assessment and Referral
2. Risk Assessment
2.1 Definition of Terms
2.2 Describing the Mentally Healthy and the At-Risk
 (Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Learners
2.2 Importance of Risk Assessment
2.3 Assessment Tools Provided in DepEd Issuance/s

3. Understanding the Referral System

Learning Resource Slide decks
Materials
Risk assessment tools
Referral forms
Referral flowcharts
DepEd Issuance/s
References The LawPhil Project. (2018, June 20). Republic Act No.
11036. [Link]. [Link]
ra2018/ra_11036_2018.html
‌
DO 18, s. 2015 – DepEd Guidelines and Procedures on the
Management of Children-at-Risk (CAR) and Children in
Conflict with the Law (CICL)

Department of Education(n.d.).
[Link]
deped-guidelines-and-procedures-on-the-management-of-
children- at-risk-car-and-children-in-conflict-with-the-law-
cicl/

Department of Education (2021, March 3) DM-OUCI-2021-

359: Guidelines on the Counseling and Referral System of
Learners for S.Y. 2020-2021.
 (Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

DepEd Order 40 Series of 2012: Child Protection Policy

Philippines. (2024, January 13). DepEd PH.
[Link] deped-order-40/

Nathan, R., & Bhandari, S. (2022). Risk assessment in

clinical practice: a framework for decision-making in real-
world complex systems. BJPsych -Advances, 30(1), 1–11.
[Link]

R.A. 9258. (n.d.). [Link].

[Link]
_9258_2004.html

Heads Up PH Connect. (n.d.). Unilab Foundation Heads Up

PH Connect Fostering Integrative Collaborative Care in
School Mental Health: A Toolkit for Effective
Referral/Treatment Protocols for Students. Unilab
Foundation, Philippines

Schedule Detailed Detailed Description of Learner’s Materials

Content Methodology/Activities Output
(Time (Slide
Outline
distributio Number)
n)
15 Do:
minutes
Introduction Greet the participants
and introduce yourself
as the facilitator.
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Say:
Good afternoon,
everyone!
I am ___________ and I
will be your facilitator for
this session titled “Risk
Assessment and
Referral”. I will guide you
through deepening your
learning about the
referral service of the
Guidance and
Counseling program
mentioned in the prior
modules.
Show:
Present the slide title.

Slide 1
Say: Slide 2
Let’s begin by answering
the pretest to gauge your
prior knowledge about
the topic. We have here
five questions provided
with multiple choices for
you to accomplish in 5
minutes. You can either
scan the QR Code or
enter the quizlet’s
shortened URL.
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Show:
show the pretest and
timer slide.

Do:
If internet access is
reliable, stay on the
slide; but if difficult or
impossible present the
slides of the 5 questions
one at a time with 1
minute interval for
manual responses. If Slides 3-7
internet access is
reliable, stay on the
slide; but if difficult or
impossible present the
slides of the 5 questions
one at a time with 1
minute interval for
manual responses
Say:
The objective of our
module is to equip you
with knowledge, skill,
and right values in
conducting risk
assessment and referral
as part of your guidance
designates’ tasks.

At the end of the

(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

session, you are

specifically expected to
be able to:

1. identify potential risks

among learners;
2. use appropriate and
approved risk
assessment tools
in making learner
referrals; and
3. appreciate the
systematic
management of
risk by illustrating a
sound referral process
in the school context.

Show:
Present the objectives’
slide.

Do:
Read the list of
objectives on the slide.

Slide 8
 (Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

10 Say: Slide 9
minutes
At the end of this
session, there will be two
output options that your
group could choose
from. You could either
produce a

1. Referral flowchart for

common cases in the
school context;

Or

2. Infographic video of
referral process
for common cases in the
school context

Do:
Show expected output
slide.

Activity: List / Slide 9

enumeration
“#Green Opportunity or
of risks
Red Risk!”
identified
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Do:
Present the title of the
session and instruct
Slide 10
them about the activity
titled “Green
Opportunity or Red
Risk”.
Prepare the 5 red cards
containing the following
risk descriptions from
which the groups will
pick from (1 for each
card): Red cards: honor
roll and inclusion in
stage performance
bullying, any mental
condition, suicide, theft,
academic struggle/
failure

Show: Show slide

containing the
instructions.

Say:
1. Group yourselves by
counting off from 1 to
5. Slide 11
Same numbers should
group together.
2. Let your group
representative pick a
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

card.
3. Depict the scene
portraying the risk
cited on your card.
4. Each group is given
a10- second time to
present in front.
[Link] training class will
identify the scene
portrayed by
each group

Say:
1. Was it easy to Enumeration
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

identify the of skills/

portrayed red strategies to
flags? improve
2. What did you just potential risk
realize after the identifying
activity? among
3. What do you need learners
to be more efficient
in assessing risk
involving our
learners?

Show:
Present activity slide.

Present “Let’s Share!”

slide

Do: Slide 12

Note responses from

participants and thank Slide 13
them for actively joining
in the activity.

Encourage at least 2
participants to respond.
Acknowledge responses
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Say:
Now, let us move on to
the meat of our session.
Why do you think we are
discussing this module
as part of your training?

Show:
Facilitator will show the
sub-title slide “I. Legal
Bases”

Show slide which Slide 14

contains list of Legal
Bases

Do: Slide 15

Read all the legal bases

for this module on Risk
Assessment and Referral

Say:
Yes, you hit the mark
with your responses. It
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

is important for us to
consider this module
because whether we like
it or not, as educators
we are bound to promote
resiliency and well-being
under the 4th
COMPONENT of
MATATAG Agenda. As a
matter of fact, the
following legal bases
justifies the integration
of our Module: Risk
Assessment and Referral
1. RA 11036 “The Mental
Health Act”
2. DepEd Order no.18
s.2015: Guidelines-
Procedures on
the Management of CAR-
CICL
3. DM-OUCI-2021- 359:
Guidelines on the
Counseling and Referral
System of Learners for
S.Y. 2020-2021
4. DO 40, s. 2012 Child
Protection Policy 5. RA
9258 or “The Guidance
and Counseling Act of
2004”

Show:
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Present slide containing

legal bases of risk
assessment and referral

Slide 15

Say:
Let us refresh our
memory of the salient
points of each law or
department order in
relation to our session
on risk assessment and
referral.

First is the Philippine

(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Mental Health Law or

otherwise known as RA
11036 which was signed
into law by the former Slide 16
president Rodrigo
Duterte in 2018 from the
bill which was
principally authored by
Senator Risa Hontiveros

The law mandates that

DepEd, CHED and
TESDA to:
a. promote mental
health
b. provide basic
support services
for individuals at
risk or already
have mental
health condition;
c. establish efficient
linkages with
other agencies and
organizations that
provide support,
treatment and
continuing care.

Show:
Facilitator will show
Mental Health Law slide
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

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Session Guide Form

Do:
Be attentive to questions
arising from participants

Slide 16

Say:
In the Department of
Education, as early as
2015, we have an order
to assess risk and refer Slide 17
already. DepEd Order 8
s.2015 gave us the
Guidelines and
Procedures on the
Management of Children-
At-Risk (CAR) and
Children in Conflict with
the Law (CAR-CICL).

Who is familiar with it?

(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

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Because there had been

no integrated system
within DepEd to respond
to special cases involving
learners
sexual violence, gang
and fraternity-related
violence, drug and
alcohol, abuse, among
others, DO 18 s. 2015
was issued to mitigate
learners’ risks

Show:
Present DO 18 s. 2015
slide

Do:
Move on to next slide

Slide 17

Say:
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

If I were to comment,
one of the best things
that happened as a
result of the challenges
during the COVID 19
pandemic was the need
to really take learners’
mental health seriously
which resulted to the
issuance of DepEd
Memorandum (DM-
OUCI-2021-055)
Guidelines on the Slide 18
Counseling and Referral
System of Learners for
SY 2020-2021. This is
our 3rd legal basis. This
directs schools and
SDOs to practice
appropriate referral
procedures along with
guidance and counseling
provision

Show:
Present slide that
contains the
memorandum

Do:
Observe reactions of
participants
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Slide 18

Say:

The fourth is the most

popular basis for some
decision making done
considering the welfare
of children. Department
Order No. 40, s. 2012 or
the Child Protection
Policy. The Department
of Education reiterates
zero tolerance policy for
any forms of abuse
directed among children.

Show:
Present DO 40, s. 2012
slide

Slide 19
Say:
Finally, the law that Slide 20
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

secures and regulates

the practice of
counseling in the
country Republic Act
9258 or The Guidance
and Counseling Act of
2024. In this act, Article
IV Section 2. states the
prohibition Against the
Practice of Guidance and
Counseling. - No person
shall (a) engage in the
practice of guidance and
counseling without a

valid Certificate of
Registration and the
valid Professional
Identification Card or a
special permit.

Hence, as guidance
designates, you need
this capacity building to
equip yourselves with
the things that you are
permitted to do. You
may not be able to do
professional counseling
nor administer
standardized
assessments, but you
can still greatly help in
some risk assessment
tasks and referral
especially with the
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

present situation of
shortage in the number
of available RGCs in the
service.

Show:
Present slide containing
RA 9258 or the
Guidance and
Counseling Act of 2004

Do:
Observe responses from
participants

Slide 20
Say: Slide 21

Do:
The facilitator will show
the sub-title slide “II.
Risk Assessment”
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

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National Educators Academy of the Philippines

Session Guide Form

Say:

Show:
Present slide containing
definitions of mental
Slide 22
health and mental
health condition.

Do:

Observe your
participants.

Say: ````````````````````
````````````````````
`````````````
Mental health is really a Slide 22-23
pressing concern not
only for some adults like
us but mostly for
learners as well. This
session is essential in
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

identifying mental health

related concerns among
our learners, but how do
we really do it? Firstly,
we define what is risk,
Slide 24
risk assessment and
how do we carry it out.

Show:
Present slide for risk and
risk assessment.

Slide 24-25

Do:
Present slide containing
definition of risk and
risk assessment

Say/Show:

The Department of Slide 26-32

Education included
profiling and risk
assessment tools for
children at-risk and
these tools are attached
in the DepEd Order No.
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

18 series of 2015 as
Appendix A.

Show:
Present copy of the
slides containing List of
At-Risk Learners as
attached in the profiling
and risk assessment
tools as attached in the
DepEd Order No. 18
series of 2015.

Do:

Run through the

conditions of At-Risk
learners as shown in the
slides.

Distribute copies of the

profiling and assessment
tools.

Say:

Risk assessment is Slide 33-34

essential for those
experiencing struggle or
problem.
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Do:
Ask participants why
risk assessment is
important in schools.

Facilitator notes
responses and thank
them for actively
participating.

Do:
The facilitator will show
the sub-title slide “II.1
DepEd Assessment Tools
in Issuance/s

Say: Slide 35

In this part of the

session, I will talk on the
different DepEd
assessment tools
enclosed in department
issuances. These tools
are being used in the
field for registered
guidance counselors and
designates.
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Show:
Present slide for Profiling
and Risk Assessment
Tools for Children-At-
Risk

Say:
The risk assessment
form will help the
guidance counselor and
guidance designate
assess properly a learner
being referred to them. Slide 36
The form contains some
demographic details that
need to be accomplished
prior to accomplishing
the checklist by ticking
on individual,
community,
psychological factors
inherent in the child.
Also, the form includes a
rundown of factors that
learners are vulnerable Slide 37-38
to.

Say/Show:
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

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Another tool being used

is the ASQ or the Ask
Suicide Screening
Questions, adopted from
the National Institute of
Mental Health of the
Department of
Education, USA.

This tool is used to

check suicidal
tendencies among our
learners.

Show:
Present slides containing
questions in the ASQ
tool one by one as it is
being discussed by the
facilitator.

Say:
Let us run through these Slide 39
questions one by one in
the succeeding slides.
The questions are also
translated in Filipino for
easier grasp. But
facilitators from other
provinces are
encouraged to use or
translate the questions
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

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National Educators Academy of the Philippines

Session Guide Form

in their own respective

dialects for participants
to understand them.

The first question is,

1. Did you wish you

were dead in the
past few weeks?
(Hinihiling mo ba
ang iyong
kamatayan sa
nakalipas na Slide 40-45
linggo?)

Second is,

2. Have you felt that

you or your family
would be better off
if you were dead in
the past few
weeks?
(Pakiramdam mo
ba na mas bubuti
ang iyong
kalagayan at
pamilya kung
nawala ka na sa Slide 40-45
mga nakalipas na
linggo?)
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

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National Educators Academy of the Philippines

Session Guide Form

Third question is,

3. Have you been

having thoughts of
killing yourself in
the past few
weeks?
Slide 40
(Nakakaisip ka
bang
magpakamatay sa
mga nakalipas na
linggo?)

The next question is, Slide 40

4. Have you ever
tried to kill
yourself?
(Nasubukan mo
na ba na
magpakamatay
dati?)

The fifth is,

5. Are you having
thoughts of killing
yourself right
now? (Nakakaisip
ka bang
magpakamatay
ngayon?)
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

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National Educators Academy of the Philippines

Session Guide Form

Say:

The screener works in

this way, if the learner
for example or a client
answers “NO” to
Questions 1-4, screening
is considered complete,
and counselor should
not ask Question #5 and
no intervention is
necessary.

Slide 41
Important Note:
However, clinical
judgment can always
override a negative
screening, so use your
judgment and decisions
upon the client
objectively.

Say:

But if the learner

answers “YES” to any of
the questions, he/she is
considered at-risk and
must be referred for Slide 42
further evaluation.
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

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National Educators Academy of the Philippines

Session Guide Form

So that is the ASQ

screener or Ask Suicide
Screening Questions.

Do:
Ask participants if they
are still with you while Slide 42
you are presenting the
slides before you
continue with the next
part of the presentation.

Slide 44
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

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Session Guide Form

Slide 45
Say:

Another tool being used

in the field is the
HEEADSSS. This tool
has two (2) main tools:
the Rapid HEEADSSS
and Comprehensive
HEEADSSS.

Show:
The facilitator will show
the sub-title slide “II.3
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

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Session Guide Form

HEEADSSS”

Say: Slide 46
HEEADSSS is an
assessment tool
designed to check on the
psychological
dimensions among
adolescents through the
acronym HEEADSSS
which stand for

Show:
Show table for the
acronym of HEEADSSS

Home

Education and Employment

Eating and Exercise

Slide 47
Activities and Peer Relationships

Drug Use/Cigarettes/Alcohol

Sexuality
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

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Session Guide Form

Suicide and Depression

Safety

The HEEADSSS is a
screening tool for
conducting a
comprehensive
psychosocial and health
risk assessment. It also
provides an ideal format
for preventive health
checks. It also includes
information about young
people’s function in key
areas of their life.

Say:
The HEEADSSS also
contains the
demographic data
needed from the client
and the Rapid
HEEADSSS form is the
initial form being used
by the mental health
practitioners.

The main questionnaire

is composed of 12
questions written
Filipino. The learners
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

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Session Guide Form

shall accomplish the

form by choosing either
to answer “Oo” or
“Hindi” which means Yes
or No respectively. The
items per number
corresponds to the
acronym which covers
the area where the
learners could have
concerns at present.

Say:
There is a prescribed
assessment form for Slide 51
HEEADSSS made by the
Department of Health.
Kindly look at this slide.
As you can see, the
learners who would
answer YES to numbers
1,4,9, and 10 needs
immediate referral and
should be interviewed
and referred to the Slide 52
Guidance Counselor. If
ever learners indicate to
any other items, they
need to be referred
within the next month.

Show:
Present slide containing
how to use the Rapid
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

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HEEADSSS.

Say:
In some cases, there is
also a need for external
Slide 53
referral in which the
counselor feels that it is
not in her capacity to
handle and manage the
case being referred and
may need a specialist to
handle the case. The
two-way referral is being
used as shown in this
slide. Slide 52-53

Show:
Present slide containing
external referral for
HEEADSSS.

Do:
Ask participants if they
have clarifications on the
referral pathways.

Say:
For this part of the
session, here are the
additional resources.
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

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National Educators Academy of the Philippines

Session Guide Form

Slide 53

Slide 54-55

Slide 55
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

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Session Guide Form

Slide 56-57

Say:
Now, we go to the other Slide 58
most important part of
the session. You have
already done risk
assessment, used
assessment tools, and
now what’s next?
Essentially, it is referral.
This part of the session
is Understanding the
Referral System.

Show:
Present slide containing
title slide for “III.
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

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Understanding the
Referral System cited in
DM-OUCI-2021-359:
Guidelines on the
Counseling and Referral
System of Learners for
S.Y. 2020-2021"

Referral is a service that

safeguards professional
practice especially when
we deal with clients who
are experiencing severe
psychological struggles
or maybe impaired
functioning. Referral
reminds us of
professionals of our
boundaries of which we
can perform our duties
within the bounds of our
profession and what
ethical matters to
consider in our practice.
Do:
Present slides containing
definition of referral and
follow up

Say:
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

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Before we proceed any

further, let us first define
the word referral.

Referral is one of the

guidance services where
learners are facilitated to
avail other assistance or
services that address
their mental health and
other concerns.

Referral requires a range

of strong and consistent
collaboration with
internal and external
partners, professionals,
fields and interests.

Slide 58
Referral as a service
work together with
Follow up as it checks
the current functioning
of those who availed of
counseling sessions or
other mental health
services.

And as RA 9258 would Slide 59-60

emphasize, that no one
shall practice counseling
without a valid
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

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Session Guide Form

professional license, so
in this context, how
should a referral be done
among guidance
designates and how
would boundaries
delineate how we should
function in the field.

The Department of
Education in its policy
statement reiterates that
as practitioners in the
field who are directly
dealing with clients,
such as our learners, we
should ensure the
systematic procedure of
counseling and referral
of learners in public
schools and guide all
public schools and
governance levels in the
implementation of
counseling and referral
processes and other
support mechanisms
that would support
DepEd’s mental health
program

Do:
Present slides containing
DepEd’s policy
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

statements on
counseling and referral.

Say:

Why refer? Slide 61-62

As a teacher and a
guidance designate,
when a learner begins to
manifest observable
behaviors that are
worsening or may have
been showing signs and
symptoms of a struggle
in some areas of his or
her development, you
know exactly that these
manifestations can be
addressed and mitigated
so that future problems
may be prevented. This
is where the concept of
referral sets in as
guidance service.

The Department of
Education has already
established a
mechanism of
counseling and referral
through its DM on
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Guidance Counseling
and Referral which
started last school year
2021-2022.

Slides 63-64
Show:

Do:
Present slides containing
referral flowcharts and
forms used within the
Department of
Education.

Say:

In doing within school

referral, any school
personnel shall do the
following:

1. Accomplish Annex
E (Referral Form)
2. The referral form
shall be submitted
to the Guidance
Counselor via
electronic mail or
physical Slide 65-66
submission while
observing
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

confidentiality.
3. Upon receipt of the
referral form, the
Guidance
Counselor shall
assess, evaluate,
and provide the
schedule for
intake interview or
other services that
may be deemed
necessary to
address the needs
of the learners.

Slide 67
Say:

When referring to a
Guidance Counselor
here are the processes
involved:

[Link] the
Counseling Referral
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Form from GCO.

[Link] the GC
regarding your referral
either by phone or

personal visit at the

GCO.
3. Guidance Counselor
will schedule an
appointment. In case of
emergency, you may
immediately accompany

the student to the GCO.

Otherwise, you may
inform the student that
he or she can meet with
the assigned Guidance
Counselor during the
regular working hours.

Show:
Present slide containing
flowchart of the Referral
System for Schools
without an RGC

Say:

The referral begins with

a report, referral or
walk-in from among
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

learners. The Guidance

Designate shall evaluate
Slide 67-68
and conduct intake
interview upon receiving
the referral. If the
learner needs to be
referred for medical
attention and
assessment, the
designate shall bring the
learner to the school
clinic or nearest medical
institution just to ensure
safety of the learner.
Upon doing so, the
designate shall proceed
with the intake interview
and use the Intake
Interview form after
getting the informed
consent from the
learner.

Say:

Let us proceed to the

next slide and the
continuation of the
referral pathway. When
the assessment is
carried out, the
Guidance Designate
assigned in the school
shall refer the learner to
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

the registered guidance

counselor of the school,
if without, the referral
shall be done within the
available RGC in the
district where the school
belongs. If the case
needs external referral,
the guidance designate
shall proceed with the
referral to an
appropriate partner
agency that can address
the case of the learner.
The guidance designate
shall do the follow up
right after the referral.

Show:
Present slide containing
flowchart handling
bullying cases, bullying Slide 68
and retaliation.

Say:
For bullying cases, the
referral should begin
with any school
personnel intervening to
stop the bullying
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

incident and refer the

case to the Guidance
Designate/Counselor/Sc
hool Head. The school
head shall endorse the
case to the Child
Protection Committee.
In the event that the

Show:
Present slide containing
flowchart for doing
external referrals from
cases happening in
school.

Show:
Present slide containing
rules and procedures in
handling child abuse
cases, violence, and
discrimination cases. Slide 69

Show:
Present slide containing
the RACE Referral
System.

Show:
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Present slide containing

flowchart for school-
Slide 72
based referral system
from Heads Up PH.

Show:
Present slide containing
flowchart for school-
Slide 73
based referral system
from Heads Up PH.

Show:
Present slide containing
flowchart for school-
based referral system
from Heads Up PH. Slide 74

Important Reminder:

And in case the school Slide 75

does not have a
registered guidance
counselor, the guidance
designate can do the
following:
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

1. carry out the

intake interview
Slide 76
and refer the
learner to the
available
counselor within
the congressional
district.
2. Guidance Inform
parents, learner,
teacher/adviser
(only if necessary),
and the school
head about the
referral.
3. Obtain consent
from the parent or
guardian.

Do:

Show:

Slide 77

While carrying these out

as services, one
Slide 71-72
important material that
should be used are the
case notes.
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Do:
Present slide that
contains details on case
notes.

Case notes are the entire

documentation of the
counseling process that
includes an accurate
account of what Slide 71
transpired during
counseling sessions. It
also covers the entire
progress of the
management of cases
being handled by a
counselor or a mental
health professional. In
some fields it is being
referred to as progress
notes.

Case notes may be Slide 72

reviewed once again
before deciding on
referral.

Show:
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Slide 73
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Say:

The DepEd’s
Memorandum on the
Guidelines of Counseling
and Referral System for
SY 2020-2021 shows a
very detailed guide on
how to make an
appropriate referral.

Do:
Present slide that
contains guidelines on
the counseling and
referral system.

Slide 74
Say:

As a Guidance
Designate, DM-OUCI-
2021-359: Guidelines on
the Counseling and
Referral System of
Learners for S.Y. 2020-
2021 is a helpful guide
on how to do referral to a
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

registered guidance
counselor in your
districts and work area.

Here are the steps to

carry out proper referral:

1. Talk to the learner

about the need to
seek professional
help.
2. Inform the learner
and/or parent
about the
behavioral
patterns you have
observed
professionally and
confidentially. Slide 74
3. Listen to the
person’s situation.
4. Suggest to the
learner (and
parents) that they
may consider
availing of the
counseling
services provided
by the GCO for
free
Do:
Present the slide
containing Guidelines in
Referring Learner to an
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

RGC.

Show:
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Do:
Continue presenting the
next slide on the
guidelines in referring
learner to the Guidance
Counselor.

Say:
The next slide shows the
steps to carry out
properly referring a Slide 75
learner to a Guidance
Counselor.

1. Accomplish the
Counseling
Referral Form from
the GCO.
2. Inform the GC
regarding your
referral either by
phone or personal
visit at the GCO.
3. The Guidance
Counselor shall
assess, evaluate,
and schedule the
intake interview or
other services that
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

may be deemed
necessary
4. The Guidance
Counselor shall
inform the
teacher/adviser
that the learner
has been given
attention.

Show:

Do: Slide 76
Present the slide on
reminders to bear in
mind before finalizing
referral.

Say:

There are other

important things to
consider before finalizing
your referral. These are
as follows.
Slide 76

1. Respect the person

being referred.
2. A learner has the
option to refuse a
referral.
3. However, if the
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

behavior
endangers his or
her well-being and
those of those, it is
our responsibility
to provide such
help to the learner
without
necessarily getting
his or her consent

Show:

Do:

Say:

There are instances Slide 77

where a registered
guidance counselor must
do an external referral
like to psychologist or
psychiatrist for a specific
learner.

Important Note:

In terms of referral, if the

counselor thinks that
the issue or concern
being referred to his or
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

her office, is beyond his

or her capability,
Slide 77
competency or expertise,
the guidance counselor
shall inform the parent,
teacher, guardian and
the school head about
the external or third-
party referral.

Say:

But what will be the

process of referral if this
is the case and if there is
no available registered
guidance counselor in
your area?

Do:
Present slide containing
Guidelines in Referring
Learner to a Mental
Health Facility.

Say:

Here are the most

important steps that a
Guidance Designate
should take:
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

1. The Guidance
Counselor shall inform
the parent, learner,
teacher/adviser (if
necessary), and the
school head about
the referral. Consent Slide 78
shall be obtained from
the parent/guardian.
2. Schools or the Schools
Division Office shall refer
the learner to the
nearest and most
accessible institution
that provides mental
health services.

3. The Guidance
Counselor shall prepare
the letter of referral to
the specific professional
and agency/institution.

What to include in the

letter:
a. basic information
about the learner;
reason for referral;
and
b. type of
intervention
needed.

[Link] Guidance
Counselor shall monitor
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

the learner’s progress/

status by securing the
contact information of
the professional and
agency or organization
where the learner is
referred.

Show:

Slide 79
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Slide 80

Do: Slide 81
Present slide on
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Resource Mapping

Say:

As a guidance designate,
it is important that you
are also aware of
available mental health
professionals (internal
and external
stakeholders) relative to
your area.

Internal stakeholders
include nurses, guidance
counselors, teachers,
and school
administrators.

External stakeholders
include individuals in
different professions,
fields and interests that
could address the
learner’s present issues,
concerns or problems.

Show:

Do:
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Present slide on the Slide 82

Referral Pathways for
Schools without an RGC

Show:
Slide containing a figure
showing referral process
to be followed by a
Guidance Designate

Say:
The Guidance Designate
shall exhaust all
available personnel
nearest to him/her to
carry out the referral
process.

1. A registered
guidance
counselor in the
nearest school.
2. A registered
guidance
counselor
available in the
Division Office
3. A registered
guidance
counselor from a
partner
organization/instit
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

ution and
communities

Do:
Present slide containing Slide 83
the diagram on RACE
Referral System

Say:
Suicide cases in schools
are being screened using
the CSSR-S or the
Columbia Suicide
Severity Rating Scale.
The scale determines the
severity level of suicide
that a learner may
experience.

When there are suicide

(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

cases in school, the

attending school
personnel are expected
to:

Low Risk: Refer the

learner to the Guidance
Counselor for counseling
intervention.

Moderate Risk: Refer the

learner to the Guidance
Counselor who will work
with a Psychologist on
the Counseling and
Intervention Programs
like psychotherapy.

High Risk: Refer the

learner to the nearest
hospital in case of a
medical emergency but if
not needed refer the
learner to a psychiatrist
or specialized care.

The Guidance Counselor

and Guidance Designate
should monitor and
evaluate the cases they
are working on.
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Show:
Another diagram
showing the RACE
Referral System in
Handling Suicide Cases
in Schools or Other
Educational Institutions

Do:
Present the slide on a
Quick Guide about the
Procedure in Referring
Distressed Learners to
the Guidance Office

Say:

The process shows that

there should be
collaboration among
personnels such as
teachers, parents,
guidance counselor, and
other school staff to
carry out the referral
process.

It begins with filling out

(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

a referral form or link

and submitting it to the
Guidance Office.

The Guidance Counselor

or Guidance Designate of
the school will notify the
referred learner
regarding the counseling
schedule.

Show:

Show:
Show slide containing
25 minutes Slide 85
the title of the activity,
“Get Me Some Help!"

Say:

To really have a feel of

how an actual referral
process is being done, let
us have this activity “Get Referral
Me Some Help!” Here are flowchart or
5 case scenarios which Infographic
would need your video
assistance as guidance
designates. You will be
grouped accordingly.
You must brainstorm
with your group on an
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

appropriate and
approved assessment
tool to use and how to
do the referral. After the
activity, each group will
be given 5 minutes to
present their output.

Show:
Slide containing
instructions about the
activity.

Say:
Listen to the following Slide 86
instructions before we
execute them:

Do
Read the instructions on
the slide:
1. Count off from 1 to
5; and proceed to
your group. There
shall be 5 groups
in the training
class.
2. Let one group
representative pick
a case card for
your group.
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

3. Decide on which
approved risk
assessment tool is
appropriate to use
for the case
assigned to you.
4. Choose one to
perform:
a. Create a referral
flowchart and
present it to the
class.
b. Create a reel
video of the
appropriate
referral process for
the assigned case
and post it on
social media.
Say:
Before I present the case
scenarios, let us do the
grouping first. Count off
from 1 to 5.

Do:
Direct the execution of
the grouping. Ensure
that 1s are together, and
so with 2s, 3s, 4s, and
5s.
Assign each group a
specific and strategic
space by which to stay
Show:
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Present Case #1 slide Slide 87

Do:
Call a participant from
Group 1 to read the slide
containing Case #1

Do:
Execute the same task
done in Case# with
Cases # 2-5 by calling
one participant from
each group to read the
case scenario assigned
to them as you show the
specific case slides.

Show:
Present the slides of
Cases #2-5

Slides 88-91
Say:
Time is up! Let us now
process the activity.
Each group is given 5
minutes to present their
output as earlier
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

instructed.

Do:
Call the 5 groups to
present in class in turns.

After taking on these

cases:

1. What are your

thoughts and feelings
after the activity?

2. Was it easy to decide

on the appropriate
assessment tool and
referral flow to use in
each of the cases?

3. What is your
takeaway from the
activity?

Show:
Slide containing the
processing questions.

Do:
Call 1 or 2 responders
per question. Openly
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

acknowledge their
responses.

Process the participants

Slide 92
using the questions
indicated

Say:

Overall, risk
assessments and
referrals must be done
properly. The process of
an efficient referral
makes helping a learner
in need be done
properly.

And with that, I would

like to share these final
thoughts with you.

Show:
Present slide containing
the quotation for the
Final Thoughts on the
session.

Slide 93
Say:
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Here are the references

we used in writing the
entire session.

Show:
Present slides containing
the references for the Slides 93-94
entire module and
session.
5 minutes Do:
Let the participants
answer the post test.
Ensure that the

Say:

And to finally check that

you have learned
something from the
session.

After having gone

through Module 5,
answer the same five (5)
multiple choice-
questions which you
have answered during
the pre-test and check
whether you got them all
right this time.
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Show:
Present the slides
containing the post-test.

The need for referral is

already mentioned in the
previous slide and now
let us proceed to a
presentation of a referral
toolkit that is composed Slides 97-
of additional risk 101
assessment tools that
you can use in the field
which will be helpful in
identifying possible risks
among our learners.

Say: So, what is a

referral toolkit?

A referral toolkit is a
simple and practical aid
that enables school
internal and external
stakeholders to take, act
on, and refer identified
distressed learners to
mental health
professionals with
improved coordination
and collaboration system
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

within the school and its

partners through tools
and procedures.

Show:
Present main title slide
and next slide that
contains a referral
toolkit's definition.

Say:

There are three (3) more

additional tools that I
will be introducing to
you in this session, some
you have come across
these or may have been
using them already in
your practice. But just
the same, for the benefit
of everyone here present,
let us go through each
one of them.

Show:
Present slide containing
additional resources.

So, they are the:

(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

1. Mental Health
Continuum
2. Behaviour
Emotions
Thoughts Learning
and Social
Relationships
3. Indicator Checklist

Show:
Present slide containing
list of additional risk
assessment tools.

Say:

First is the Mental

Health Continuum. This
was developed by
Beyondblue website and
was cited in the material
by Heads UP Ph
Connect.

Say:

The Mental Health

Continuum consists of a
scale showing four
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

components:
Flourishing, Going OK,
Struggling, Severely
Impacting everyday
activities.

Do:
Present slide containing
the colored scale with
the four (4) components
of the Mental Health
Continuum.
Significantly, it points
out what can you notice
with learners as to the
level of concern (very
low, low, moderate and
high), the core features
of the four (4)
components, and their
respective support focus.

Do:
Present slide with the
table containing what to
notice among learners
using the Mental Health
Continuum.

Say:
In actual conditions,
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

how will these manifest

among our learners in
three areas of
functioning: emotions,
thoughts and learning.

Do:
Present slide containing
the table on what can it
look like in the three (3)
areas of functioning
among learners.

Say:
In the first column, the
person is said to be
Flourishing if he/she
regularly experiences
more positive more than
negative emotions.

Do:
Mention other
components of the table
per column/component.
Highlight what may be
important to see
especially on the last
component that may
suggest severe effects
and manifestations to
learners and may
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

warrant immediate
referral.

Say:
After using this tool, the
guidance designate shall
look out for warning
signs of mental illness
and emotional distress
among learners as
shown in this table.

Show:
Present slides containing
a table on warning signs
of mental illness and
emotional distress
among learners ranging
from atypical and
unusual behaviors and
including academic
performance problems
that are present.

Say:
Another assessment tool
is the Behaviour
Emotions Thoughts
Learning and Social
Relationships. This is
also from Beyondblue as
cited in Heads Up PH
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Connect.

This tool is used to

gather and document
information and
observations of concerns
that a learner may have.
It focuses on what you
can see, hear and the
time, place and
frequency of observed
behaviors.

Show:

Do:
Distribute sample copies
of the Behaviour
Emotions Thoughts
Learning and Social
Relationships tool

Present slides that

contain what to look for
and important
observation guidelines of
the tool.

Say:
(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

The succeeding slides

contain guide questions
that the tool has that
might generate
important notes and
observations that the
guidance designate can
use.

Say:
The next tool is the
Indicator Checklist. The
checklist contains ten
(10) statements
answerable by “Yes” or
“No”. The list suggests
that the more you
answer “Yes”, the greater
is the level of concern
and follows when you
have more “No”
responses.

Show:

Do:
Present slide that
contains the Indicator
Checklist.

Distribute copies of the

(Enclosure No. 6 to DepEd Memorandum No. 044, s. 2023)

Republic of the Philippines

Department of Education

National Educators Academy of the Philippines

Session Guide Form

Indicator Checklist
among participants.