She served thirty years on the executive council of the National Association for the study of Negro Life and History.

She also founded a health camp for black children, and served on the Governor’s Committee on Youth and Children and the executive board of the Kentucky Interracial Council.

She also served as the president of the Kentucky Negro Education Association, a powerful group that lobbied for educational improvements.

Among her many accomplishments, Smith helped raise funds to establish The Colored Health Camp.

This camp was free to parents of undernourished and frail children for two weeks with the goal of improving the children’s health.