Exhibit 5

                   Kramer, Coleman, Wactlar & Lieberman, P.C.
                                ATTORNEYS AT LAW
                             100 Jericho Quadrangle
                             Jericho, New York 11753
                                 (516) 822-4820


                                                   June 18, 2003


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

           Re: Netsmart Technologies, Inc.
               Registration Statement on Form S-3/A
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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 which were
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.
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                                  Kramer, Coleman, Wactlar & Lieberman, P.C.