This article explores reasons for social work's minimal involvement in
the development of programs and policies related to smoking cessation
and proposes how social workers can engage in a range of micro, mezzo
, and macro activities. The extensive literature on the harmful effect
s of smoking is reviewed, and a rationale for social work involvement
is presented, namely, that the profession focus on those populations t
hat are already vulnerable and among whom smoking rates are rising, in
cluding poor people, less-educated people, young women, aboriginal peo
ple, and some visible minorities. Whereas other health professions hav
e been declarative about their positions on smoking, social work has n
ot registered its concern. However, considerable opportunities exist f
or counseling individuals offering group education and support service
s, developing policies for a smoke-free environment, and influencing g
overnment policymakers to promote health.