These statements are not guarantees
of future performance and involve risks , uncertainties and assumptions that
are difficult to predict.

About HANDS(TM)

Hythiam 's HANDS(TM) Protocols are designed for use by healthcare
providers to treat those diagnosed with dependencies to alcohol,
cocaine, methamphetamine and other addictive stimulants, as well as
combinations of these drugs.gov

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Peizer, Hythiam's
Chairman and CEO.D.

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Statement on Behalf of Netsmart Technologies, Inc. As a result, the HANDS
Protocols represent a comprehensive approach to managing substance
dependence that is designed to address both the physiological and
psychological aspects of the disease, thereby offering patients an
opportunity to transition into a healthier lifestyle .

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, Netsmart
Technologies, Inc., national Medical Director
for behavioral services at Ardent Health Services.

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Netsmart Is Awarded Butler Hospital Contract

GREAT RIVER, N.

Changes in the neurochemistry of the brain
underlie the hallmarks of substance dependency , including craving,
tolerance, withdrawal symptoms and relapse.

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The contract covers licensing, services and 24
by 7 maintenance of Creative's Avatar ensemble of products."
Butler Hospital, a Care New England facility, is the only private,
nonprofit adult, adolescent and child psychiatric and substance abuse hospital
in Rhode Island.

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(Creative), today announced that
Creative has been awarded a contract with Butler Hospital of Providence, Rhode
Island. The first year value is $380,000 and the value of years two through
five is a total of $239,000.
Netsmart Technologies, Inc. of Great River, NY, through Creative Socio-
Medics, is an established, leading supplier of enterprise -wide software
solutions for health and human services providers with over 600 clients,
including 26 systems with state agencies.

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Additionally, the location of Ardent Health
Services facilities in rural and suburban environments greatly
enhances our reach in providing these protocols to diverse
communities. These risk factors include, among
others, limited operating history and lack of statistically
significant formal research studies, difficulty in developing,
exploiting and protecting proprietary technologies, intense
competition and substantial regulation in the healthcare industry; and
additional risks factors as discussed in the reports filed by the
company with the Securities and Exchange Commission , which are
available on its website at http://www.sec.

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Butler has been named by US News + World Report, 2003 as one of the top 30
psychiatric hospitals in the United States.
Words such as "anticipate," "believe," "estimate," "expect," "intend" and
similar expressions, as they relate to the company or its management, identify
forward-looking statements. In addition, such statements could be
affected by risks and uncertainties related to product demand, market and
customer acceptance , competition, pricing and development difficulties, as
well as general industry and market conditions and growth rates, and general
economic conditions.

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Y.com

Forward-Looking Statements

Except for statements of historical fact, the matters discussed in
this press release are forward looking and made pursuant to the Safe
Harbor provisions of the Private Securities Litigation Reform Act of
1995.

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Butler joins the
growing list of our Company's NAPHS members, including North Shore Hillside
Hospital, Saint Vincents Catholic Medical Centers, The Retreat of Brattleboro,
and The Ridgeview Institute. Butler is affiliated with the Brown Medical School and is the
flagship for the department of psychiatry that has been recognized by its
peers as one of the top ten in the United States.

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Recognized as a national leader in the development of short-term, managed
care services, Butler has a reputation for providing the best care available
to patients.
The agreement calls for licensing of the HANDS(TM) Protocols
initially into five Ardent Health Services behavioral hospitals - BHC
Alhambra Hospital, a full service psychiatric hospital that offers
inpatient, partial hospitalization , eating disorder and substance
abuse treatment, located in California's San Gabriel Valley;
Intermountain Hospital, a full service psychiatric hospital and
residential treatment center located in Boise, Idaho; Montevista
Hospital, a full service psychiatric hospital offering inpatient and
outpatient services for behavioral, chemical detox and rehabilitation,
located in Las Vegas, Nevada; West Hills Hospital, a behavioral health
care services facility offering inpatient hospitalization, chemical
detox and rehabilitation, and intensive outpatient psychiatric and
chemical dependency treatment , located in Reno, Nevada; and Fairfax
Hospital, a full-service psychiatric hospital located in Kirkland ,
Washington, a suburb of Seattle, that provides treatment services for
adults, adolescents, and children through inpatient and partial
hospitalization.

Counseling facilites that offer residential treatment or partial/day programs for adults or adolescents.

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(Nasdaq: NTST), a leading supplier of enterprise -wide
software for health and human services providers through its wholly owned
subsidiary, Creative Socio-Medics Corp. The HANDS(TM) Protocols include medically
supervised procedures designed to target receptor sites in the brain
that regulate neurotransmitters implicated in brain processes of
substance dependency.

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Therefore, actual outcomes and results may, and
probably will, differ materially from what is expressed or forecasted in such
forward-looking statements due to numerous factors, including those described
above and those risks discussed from time to time in Netsmart's filings with
the Securities and Exchange Commission. is a healthcare services management company, focused
on delivering solutions for those suffering from alcoholism and
addiction.

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The HANDS(TM) Protocols
also provide for a maintenance program that includes medications and
incentives for patients to continue with the recovery process through
individualized continuing care programs.hythiam.

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It provides assessment and treatment of all major psychiatric
illnesses and substance abuse.
"This agreement represents a milestone for Hythiam in that Ardent
Health Services is the first network of behavioral hospitals to
license the HANDS(TM) Protocols," said Terren S.

About Hythiam, Inc.

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About Ardent Health Services

Ardent Health Services is a provider of healthcare services to
communities throughout the United States.

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Creative's clients include health
and human services organizations: public health agencies, mental health and
substance abuse clinics, psychiatric hospitals, and managed care
organizations.

Hythiam, Inc.

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Statements in this press release may be "forward -looking statements"
within the meaning of the Private Securities Litigation Reform Act of 1995. Any forward-looking statements speak only as of the date
on which they are made, and the company does not undertake any obligation to
update any forward-looking statement to reflect events or circumstances after
the date of this release.

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Hythiam researches, develops, licenses and commercializes
innovative physiological treatment protocols.

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Business Editors/Healthcare Editors

LOS ANGELES--- -

Leading Behavioral Hospital Network to
Deploy Protocols in Five Initial Sites

Hythiam, Inc. Ardent currently operates 35
hospitals in 14 states, providing a full range of medical/surgical,
psychiatric and substance abuse services to patients ranging from
children to adults.
For further information please visit www.

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Netsmart Technologies Signs Multiyear Contract With Leading Psychiatric Hospital

James Gargiulo, Creative's Senior Vice President of Marketing said, "The
Butler award is in-line with our strategic plan to grow our base of National
Association of Psychiatric Health Systems (NAPHS) clients. "Ardent Health Services is a leader in dealing with
behavioral diseases and their expertise in this area, combined with
their commitment to comprehensive, innovative approaches to ending the
cycle of dependency, creates an ideal environment for incorporation of
our HANDS(TM) Protocols. Additionally, Hythiam
provides proprietary administrative services to assist physicians and
facilities with staff education, clinical services, marketing and
sales support, and outcomes tracking methodologies for data analysis.

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(AMEX:HTM), a healthcare services management company
that delivers to treatment providers both proprietary administrative
services and physiological protocols designed to treat addiction,
announced today that it has signed a licensing and services agreement
to offer its HANDS(TM) Protocols to Ardent Health Services, a leading
network of behavioral hospitals and one of the largest providers of
inpatient and outpatient mental health services."
"The HANDS(TM) Protocol, especially because of its emphasis on
addressing both the physiological and psychological causes of the
disease of addiction, lends itself to the outpatient services approach
of our facilities," said Harry Silsby, M.

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Hythiam Announces Licensing Agreement to Offer HANDS Protocols Through Ardent Health Services Facilities

These forward-looking statements reflect numerous assumptions
and involve a variety of risks and uncertainties, many of which are
beyond the company's control that may cause actual results to differ
materially from stated expectations .

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About Netsmart Technologies, Inc. Avatar Practice Management and the Avatar Clinician Work
Station, Creative's core products, are full-featured information systems that
operate on a variety of operating systems, hardware platforms, and mobile
devices and offer unlimited scalability. These statements are based on current
expectations, estimates and projections about the company's business based, in
part, on assumptions made by management. Information on Netsmart's or Creative's website do
not constitute a part of this release.

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