Building Strengths with the Six Es of Medication Management

Abstract

The authors provide a template of focused skills drawn from various psychotherapy modalities for integration into follow-up psychopharmacology appointments. Titled the Six E model, this approach includes strategies to elicit an agenda, externalize the presenting problem, seek exceptions, engage empathetically, utilize enactments, and offer education. The template was trialed in a child and adolescent outpatient residency clinic under the guidance of two attendings. Qualitative feedback was solicited from fellows following utilization of the template. The Six E model was felt to improve structure and subjective satisfaction of patient, family, and provider participating in the brief appointments.

21st Century Training in Psychosis

“…In pursuit of this, Phelps et al [2] demonstrate how a structured approach to the psychiatric medication management visit can elicit information, include psychotherapeutic principles, and allow the patient and family more input into the visit. Their model employed at the University of South Carolina is comprehensive, and I would guess superior to the current "nonspecific model" used in most clinics.…”