Exhibit 5

                   Kramer, Coleman, Wactlar & Lieberman, P.C.
                                ATTORNEYS AT LAW
                             100 Jericho Quadrangle
                               Jericho, NY 11753
                           Telephone: (516) 822-4820
                           Telecopier: (516) 822-4824


                                   April 15, 2003


Netsmart Technologies, Inc.
146 Nassau Avenue
Islip, New York 11751

              Re: Netsmart Technologies, Inc.
                  Registration Statement on Form S-3

Dear Sirs/Madams:

          We  have  acted  as  counsel  for  Netsmart  Technologies,  Inc.,  a
Delaware corporation (the "Company"),  in connection with the registration under
the Securities Act of 1933, as amended, of (i) an aggregate of 110,000 shares of
common stock, par value $.01 per share, of the Company ("Common Stock"),  issued
or issuable  upon  exercise of Series E Common  Stock  Purchase  Warrants of the
Company  ("Warrants")  issued  pursuant to a Business  Advisory  and  Consulting
Agreement,  with the Company  dated  April 10,  2002 and (ii)  10,000  shares of
Common Stock issued upon the exercise of non-qualified stock options ("Options")
issued  pursuant to a Consulting  Agreement  with the Company dated February 16,
2001. In this regard,  we have participated in the preparation of a Registration
Statement  on Form S-3 (the  "Registration  Statement")  relating  to the Common
Stock.

        We are of the  opinion  that:  (1) the  shares  of  Common  Stock
subject to the Registration Statement have been duly authorized;  (2) the shares
issued in  accordance  with the terms of the Options and the Warrants  exercised
prior to the date hereof are legally issued, fully paid and non-assessable;  and
(3) that the shares of Common Stock issuable upon the exercise of Warrants to be
exercised,  when issued in  accordance  with the terms of the  Warrants  will be
legally issued, fully paid and non-assessable.

        We hereby  consent to the filing of this  opinion as Exhibit 5 to
the  Registration  Statement and to the use of our name under the caption "Legal
Matters" in the Registration Statement and in the Prospectus included therein.


                                   Very truly yours,

                                   /s/Kramer, Coleman, Wactlar & Lieberman, P.C.
                                   Kramer, Coleman, Wactlar & Lieberman, P.C.