Ep. 117: Confronting Bias in SLP and Exploring AI’s Role in Equitable Practices

May 30, 2025

Episode 117 of SLP Full Disclosure dives into the critical issue of bias in speech-language pathology. Hosts Michelle and Dr. Marisha Speights explore how biases influence speech screenings and evaluations, including the impact on clinical practice and the importance of cultural representation in assessments. They address challenges with outdated screening measures and discuss the integration of artificial intelligence in identifying speech disorders. Together, they emphasize the importance of mindful, equitable care, encouraging clinicians to critically evaluate the tools they use.

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Timestamps

00:00 Understanding Bias in Speech-Language Pathology
07:30 The Impact of Cultural Representation in Assessments
15:00 Challenges with Outdated Screening Measures
21:59 The Role of AI in Speech-Language Pathology
30:01 Navigating Bias in Clinical Practicea

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About Dr. Marisha Speights

Dr. Marisha Speights, a speech scientist and pathologist, specializes in pediatric speech biomarkers and AI-driven detection of speech disorders. She leads the Pediatric Speech Technologies and Acoustics Research Lab, where her team develops computational tools to improve speech disorder classification, refine automatic speech recognition models, and apply machine learning for equitable early screening. She is a key contributor to the NIH’s AIM AHEAD initiative, focusing on reducing biases in AI-driven technologies for children’s speech. Central to her work is the Speech Exemplar and Evaluation Database (SEED), a diverse child speech dataset addressing critical gaps in existing resources. Supported by the Bill and Melinda Gates Foundation and global collaborations, Dr. Speights aims to advance culturally responsive, AI-powered tools to ensure equitable early detection and intervention for children across diverse communities. Supporting Resources to Learn More Northwestern University Faculty Page: https://communication.northwestern.ed...

Pediatric Speech Technologies and Acoustics Research Lab: https://childstudies.northwestern.edu...

About Michelle

Michelle Gage, MA CCC-SLP, embarked on her journey in speech-language pathology during her undergraduate studies at the University of Mississippi, where she also worked at North Mississippi Regional Center, gaining invaluable experience in various therapy approaches. Following her Master's Degree in Speech-Language Pathology from the University of Central Florida, she has dedicated 25 years to empowering children and families in improving language skills and overall development. Currently residing in Mississippi, Michelle extends her expertise through telehealth services. Additionally, she proudly serves as the host of the SLP Full Disclosure podcast.

Outside of her professional commitments, Michelle is the proud mother of Mia, an accomplished middle school math teacher and all-around amazing human. In her leisure time, she indulges in her love for travel and cherishes moments spent with family and friends.

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