She worked for reforms in the APA and spoke on LGBT rights across the country.
[3] She was one of the first psychologists in the American Psychological Association (APA) to live as an out lesbian.
[1] She was a leader in the APA Division 44, the Society for the Psychological Study of Lesbian and Gay Issues and served a term as president.
[1] She also spoke to Chicago City Council and the Illinois House of Representatives about LGBT issues.
[3][5] Smith was inducted into the Chicago Gay and Lesbian Hall of Fame in 1991.