The create response method doesn't seem documented in terms of how to do things like elicitSlot/ElicityIntent etc. if the create response method should not be responsible for this, I can't find how else to create responses back to alexa.

I would have anticipated it to look something like

alexa.elicit_slot(slot='myMissingSlot', message='can you please provide the missing detail about "missingSlot"')
the reason I do this is because the slot value may be present in the session (and so I shouldn't make it manditory), but not until it has been submitted the first time. Not sure how to do this with this library.