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Nearly 60% of substance abuse professionals see technology in the future treatment of their clients. So why aren’t they using more technology-based treatment tools now? Technology offers the potential to streamline the assessment process and enhance client engagement. In this survey of more than 700 behavioral health and substance abuse treatment professionals, half reported they already use email to communicate with clients and refer clients to online educational materials. The majority say that technology will play a substantial, integrative role in future substance abuse treatment. But widely-held concerns about managing technology resources, confidentiality, and the lack of client access to the Internet continue to slow the adoption of technology-based solutions in substance abuse treatment.