Document:

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                                                              EXHIBIT 10.2.1

                                  AMENDMENT TO
                              EMPLOYMENT AGREEMENT
                                       OF
                               KENNETH A. KESSLER

            THIS AGREEMENT, effective as of the 26th day of September, 1997,
is made by and between American Psych Systems, Inc., a Delaware corporation
("APS"), and Kenneth A. Kessler, M.D. (the "Employee").

                                   WITNESSETH:

            WHEREAS, the Employee and APS are parties to an Employment Agreement
dated April 3, 1995 (the "Agreement");

            WHEREAS, APS desires to offer and sell to certain investors (the
"Investors") up to $8,400,000 principal amount of senior secured promissory
notes (the "Notes"), due in three years, that would bear interest at a rate of
15% per year;

            WHEREAS, the Investors are requiring, as a condition of purchasing
the Notes, that Employee extend the term of the Agreement to the earlier of (i)
November 30, 2000 or (ii) the date upon which the Notes are repaid in full (but
in not event shall the Agreement terminate earlier than March 31, 1999); and

            WHEREAS, the parties hereto desire to set forth their agreement
concerning the extension of the termination date of the Agreement.

            NOW, THEREFORE, in consideration of the foregoing, for the mutual
promises and covenants hereinafter set forth, and for other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the
parties, intending to be legally bound, mutually agree and covenant as follows:

      1.    AMENDMENT TO TERM OF EMPLOYMENT AGREEMENT

      Section 1.02 of the Agreement shall be deleted in its entirety and the
following shall be inserted in lieu thereof:

            1.02  TERM. The term of Employment hereunder shall commence as of
April 3, 1995, and shall continue through the earlier of (i) November 30, 2000
or (ii) such time as the Notes are paid in full (but in not event earlier than
March 31, 1999).

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      2.    EFFECT OF AMENDMENT

      Except for the amendment to the Agreement set froth in paragraph 1 above,
all of the terms and conditions of the Agreement remain unmodified and in full
force and effect.

      IN WITNESS WHEREOF, APS has caused its duly authorized officer to execute
and acknowledge this Agreement and Employee has set his hand and seal, all on
the day and year first above written.

                              AMERICAN PSYCH SYSTEMS, INC.

                        By:   /s/ John Heffner
                              ---------------------------------
                              John C. Heffner, Vice President

                              EMPLOYEE

                              /s/ Kenneth Kessler
                              ---------------------------------
                              Kenneth A. Kessler

                                     - 2 -<PAGE>

                                                                 EXHIBIT 10.2.2

                                  AMENDMENT TO
                              EMPLOYMENT AGREEMENT
                                       OF
                              KENNETH A. KESSLER

            THIS AGREEMENT, effective as of the 23rd day of December, 1998,
is made by and between American Psych Systems Holdings, Inc., a Delaware
corporation ("APS"), and Kenneth A. Kessler, M.D. (the "Employee").

                                   WITNESSETH:

            WHEREAS, the Employee and APS are parties to an Employment Agreement
dated April 3, 1995 (the "Agreement");

            WHEREAS, Psych Systems Holdings, Inc. ("PSH"), a wholly-owned
subsidiary of APS, desires to enter into a loan transaction (the "Loan") with
NationsCredit Commercial Corporation ("NationsCredit") whereby NationsCredit
will make a credit facility available to PSH in the aggregate principal
amount of up to $25,000,000;

            WHEREAS, NationsCredit, as a condition of advancing the Loan, is
requiring that Employee extend the term of the Agreement to the earlier of (i)
December 15, 2003 or (ii) the date upon which the Loan is repaid in full; and

            WHEREAS, the parties hereto desire to set forth their agreement
concerning the extension of the termination date of the Agreement.

            NOW, THEREFORE, in consideration of the foregoing, for the mutual
promises and covenants hereinafter set forth, and for other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the
parties, intending to be legally bound, mutually agree and covenant as follows:

      1.    AMENDMENT TO TERM OF EMPLOYMENT AGREEMENT

      Section 1.02 of the Agreement shall be deleted in its entirety and the
following shall be inserted in lieu thereof:

            1.02  TERM. The term of Employment hereunder shall commence as of
April 3, 1995, and shall continue through the earlier of (i) December 15, 2003
or (ii) such time as the loan described in that certain Credit Agreement, dated
December 23, 1998, among Psych Systems Holdings, Inc., American Psych Systems
Holdings, Inc., the Lenders referenced therein and NationsCredit Commercial
Corporation, is paid in full.

<PAGE>

      2.    EFFECT OF AMENDMENT

      Except for the amendment to the Agreement set froth in paragraph 1 above,
all of the terms and conditions of the Agreement remain unmodified and in full
force and effect.

      IN WITNESS WHEREOF, APS has caused its duly authorized officer to execute
and acknowledge this Agreement and Employee has set his hand and seal, all on
the day and year first above written.

                              AMERICAN PSYCH SYSTEMS HOLDINGS, INC.

                        By:   /s/ Scott Taylor
                              ---------------------------------
                              Scott O. Taylor, Vice President

                              EMPLOYEE

                              /s/ Kenneth Kessler
                              ---------------------------------
                              Kenneth A. Kessler

                                     - 2 -<PAGE>

                                                              EXHIBIT 10.2.3

                               THIRD AMENDMENT TO
                              EMPLOYMENT AGREEMENT
                                       OF
                               KENNETH A. KESSLER

            THIS AGREEMENT, effective as of the 15th day of September, 2000,
is made by and between American Psych Systems Holdings, Inc., a Delaware
corporation ("APS"), and Kenneth A. Kessler, M.D. (the "Employee").

                                   WITNESSETH:

            WHEREAS, the Employee and APS are parties to an Employment Agreement
dated April 3, 1995 (the "Agreement");

            WHEREAS, Psych Systems Holdings, Inc. ("PSH"), a wholly-owned
subsidiary of APS, desires to enter into a loan transaction (the "Loan") with
Canpartners Investments IV, LLC ("Canpartners") whereby Canpartners will make a
credit facility available to PSH in the aggregate principal amount of up to
$7,500,000;

            WHEREAS, Canpartners, as a condition of advancing the Loan, is
requiring that Employee extend the term of the Agreement to the earlier of (i)
June 30, 2004 or (ii) the date upon which the Loan is repaid in full; and

            WHEREAS, the parties hereto desire to set forth their agreement
concerning the extension of the termination date of the Agreement.

            NOW, THEREFORE, in consideration of the foregoing, for the mutual
promises and covenants hereinafter set forth, and for other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the
parties, intending to be legally bound, mutually agree and covenant as follows:

      1.    AMENDMENT TO TERM OF EMPLOYMENT AGREEMENT

      Section 1.02 of the Agreement shall be deleted in its entirety and the
following shall be inserted in lieu thereof:

            1.02  TERM. The term of Employment hereunder shall commence as of
April 3, 1995, and shall continue through the earlier of (i) June 30, 2004 or
(ii) such time as the loan described in that certain Note and Stock Purchase
Agreement, dated September 15, 2000, among Psych Systems Holdings, Inc., The
Guarantors From Time to Time Party Thereto, Canpartners and The Other Purchasers
From Time to Time Party Thereto is paid in full.

<PAGE>

      2.    EFFECT OF AMENDMENT

      Except for the amendment to the Agreement set forth in paragraph 1 above,
all of the terms and conditions of the Agreement remain unmodified and in full
force and effect.

      IN WITNESS WHEREOF, APS has caused its duly authorized officer to execute
and acknowledge this Agreement and Employee has set his hand and seal, all on
the day and year first above written.

                              AMERICAN PSYCH SYSTEMS HOLDINGS, INC.

                        By:   /s/ Steven DaRe
                              ---------------------------------
                              Name:  Steven DaRe
                              Title: Senior Vice President

                              EMPLOYEE

                              /s/ Kenneth Kessler
                              ---------------------------------
                              Kenneth A. Kessler, M.D.

                                     - 2 -<PAGE>

                                                                 EXHIBIT 10.3

                      EMPLOYMENT AGREEMENT - FINAL REVISION

      THIS AGREEMENT, made this 5th day of January 2000, is between AMERICAN
PSYCH SYSTEMS, INC. ("APS") and RICH KODORA ("Employee").

                                    RECITALS:

      APS desires to employ Employee upon the following terms and conditions and
Employee desires to accept such employment.

      NOW, THEREFORE, it is agreed as follows:

      1)    EMPLOYMENT: APS employees Employee and Employee accepts employment
with APS for a term commencing with the start date, and ending upon resignation
by Employee or termination by APS subject to the termination provisions of
paragraph 6 herein. Employee is expected to start employment with APS on
February 1, 2000.

      2)    MANAGEMENT DUTIES: Employee is hereby designated as Senior VP for
Employer Sales and has the essential duties that are designated as agreed upon
by Employee and APS management. APS may from time to time change Employee's
duties and responsibilities to other similar, reasonably related duties and
responsibilities as in its reasonable discretion are necessary based upon the
needs of APS.

      3)    COMPENSATION: As his entire compensation for all services rendered
to APS during the term of this Agreement in whatever capacity rendered, Employee
shall have and receive.

            A)    A Base Salary of $7,115.38 biweekly (annualized, $185,000).
                  Biweekly amount based on a twenty-six (26) payroll cycle.
                  Employee's performance will be reviewed annually and your base
                  salary will be adjusted upward, if appropriate based on your
                  performance during the immediately preceding year.

            B)    Employee will be eligible for sales commissions on sales for
                  the following types of sales for which the Employee was
                  principally responsible for securing that the Company as
                  determined by the good faith judgment of the senior management
                  of the company. Commissions will be based on the following
                  schedule for the contract secured by the Employee:

                  Full-risk commercial health plan business -
                  1.5% of collected revenues in year 1
                  0.75% for collected revenues in year 2
                  0.375% of collected revenue in year 3

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                  ASO business including EAP-
                  3% of collected revenues in year 1
                  1.5% of collected revenues in year 2
                  0.75% of collected revenues in year 3

                  All commissions will be paid in the month following in which
                  they are earned. At Employee's option, up to 50 % of
                  commissions earned in years one through three may be paid in
                  APS stock, at the then current market price as determined by
                  the Company's Board of Directors, subject to limitations or
                  restrictions imposed by the Company's public offering of the
                  Company's shares. This election must be made at the outset of
                  each calendar year.

                  Additionally, Employee will be eligible for an override of 10%
                  of paid commissions earned by all sales people Employee
                  supervises. If APS terminates Employee's employment pursuant
                  to the termination provisions of paragraph 6.A. herein, or if
                  employee voluntarily resigns, dies or becomes disabled,
                  Employee shall be eligible for a period of one year following
                  Employee's termination to be paid to be paid any earned
                  commissions and overrides that would have been paid to
                  Employee if employed by APS during that year.

            C)    An Incentive Stock Option ("ISO") Stock Option Grant for One
                  Hundred and Fifty Thousand (150,000) shares of APS Class A
                  Common Stock with an exercise price of $2.85 per share, based
                  on a five year vesting schedule at twenty percent (20%) per
                  year. All stock options shall be in accordance with the rules
                  and regulations of the APS 1993 Stock Option Plan, as amended.
                  If the assets or stock of APS are sold, including an initial
                  public offering, you will be given advance notice and an
                  opportunity to exercise your vested options and to sell the
                  vested portion of your stock.

            D)    APS will provide Employee the amount of $250,000 to compensate
                  for expected year 2000 commission you will forfeit with your
                  current employer as follows: 75% of this amount ($187,500.00)
                  in cash payable monthly as the commission would have been
                  earned paid bi-weekly over a twelve (12) month period at the
                  rate of $7,211.53 per pay period and 25% in a grant of APS
                  stock valued at the current share price with the value of the
                  grant being $62,500.00. The stock is subject to vesting over
                  five (5) years at 20% per year. If the assets or stock of APS
                  are sold, including an initial public offering, Employee will
                  be given advance notice and an opportunity to sell the vested
                  portion of his stock. Employee will be responsible for all tax
                  liability required by law. In the event Employee is terminated
                  without cause pursuant to the termination provisions of
                  paragraph 6 herein, prior to an IPO initial stock offering,
                  APS will repurchase the vested portion of Employee APS stock
                  at the then current market value.

<PAGE>

            E)    In the event that prior to an initial public offering of APS
                  stock or other sale of substantially all of APS' assets, you
                  die, become disabled, resign with cause as defined in this
                  agreement or are terminated by APS without cause, you will be
                  able to exercise your vested options and APS will repurchase
                  all of your vested APS stock, including shares received
                  pursuant to paragraph 3.B. For purposes of the foregoing you
                  will be considered to have been terminated by APS for "cause"
                  if (i) if you have failed to perform, or you have habitually
                  neglected to perform your duties and you do not cure that
                  failure or neglect within 30 days after written notice
                  thereof, (ii) you have breached a material term of this
                  agreement and you do not cure that breach within 30 days after
                  written notice thereof; (iii) you have committed any act of
                  dishonesty or breach of fiduciary duty against APS; or (iv)
                  you have been convicted of or pled guilty to a felony or to a
                  crime of moral turpitude. You will be considered to have
                  resigned "with cause" if you resign after (i) a sale of stock
                  or assets of APS; (ii) a material breach of this agreement by
                  APS and APS does not cure the breach within 30 days after
                  written notice thereof; or (iii) a material change in your job
                  duties or compensation. APS' repurchase of your stock will be
                  at fair market value with the purchase price being paid in
                  cash within 90 days after your termination of employment.

      4)    FACILITIES: APS shall provide and maintain or cause to be provided
and maintained such facilities, equipment supplies and assistance as deemed
necessary by APS management for Employee's performance of his/her duties under
this Agreement.

      5)    LOYALTY: Employee shall devote his/her full time and best efforts to
the performance of his employment under this Agreement. Employee will not engage
in any other business activity during the term of this agreement without the
prior consent of APS management.

      6)    TERMINATION:

            A.    APS reserves the right to terminate Employee's employment
                  without cause at anytime upon thirty (30) days prior notice.

            B.    Employee may be terminated without notice for Cause at
                  anytime. Termination for "Cause" shall exist if (i) if you
                  have failed to perform, or you have habitually neglected to
                  perform your duties and you do not cure that failure or
                  neglect within 30 days after written notice thereof; (ii) you
                  have breached a material term of this agreement and you do not
                  cure that breach within 30 days after written notice thereof;
                  (iii) you have committed any act of dishonesty or breach of
                  fiduciary duty against APS; or (iv) you have been convicted of
                  or pled guilty to a felony or to a crime of moral turpitude.
                  The date on which Employee ceases to be employed by APS for
                  any reason shall deemed to be the "Termination Date" for all
                  purposes herein.

<PAGE>

      7)    SEVERANCE: If Employee resigns or is terminated by APS pursuant to
paragraph 6 above and APS elects to exercise the Non-Competition provision 8.E.
of this agreement, Employee shall be entitled to receive "Severance Benefits"
including a payment equal to the prorated salary that otherwise would have been
paid to Employee under this Agreement from the date of termination through one
year from the termination date. Payments for all severance benefits will be made
in accordance to APS' regular payroll system and schedule on a bi-weekly basis
until the total payment amount is exhausted. Employee will also be eligible for
any other related APS employee benefits at the current level including
commissions and overrides assuming that you do not violate your Non-Compete
Agreement with APS.

      8)    CONFIDENTIALITY:

            A.    PROPERTY RIGHTS. I agree that all data, designs, discoveries
                  invention, improvements, advances, programs (computer or
                  otherwise), methods, practices, techniques and developments
                  and relationships with customers and prospective customers
                  which I may conceive, make, invent, or suggest during my
                  employment with the Company relating generally to any matter
                  or thing, which is connected to the Company's existing or
                  contemplated products, services or business shall become the
                  absolute property of the Company immediately as soon as made
                  or conceived. I agree to assign the rights of such property to
                  the Company upon request of the Company and such agreement
                  shall survive the termination of my employment for any reason.

            B.    ACTIONS REQUIRED ON TERMINATION. Upon termination of my
                  employment for any reason, I agree immediately to return to
                  the Company all property of the Company of which I had custody
                  and to deliver to the Company all notebooks, business card
                  files, customers or prospective customer lists, memoranda,
                  diaries, computer printouts and other documentation of any
                  kind, as well as any other data relating to the Company's
                  products, services or business.

            C.    COMPLIANCE NOT CONTINGENT UPON ADDITIONAL CONSIDERATION.
                  Except as provided in my employment agreement with APS, I have
                  not been promised, and I shall not claim, any additional or
                  special payment for such assignments and compliance with the
                  other covenants and agreements herein contained.

            D.    TRADE SECRETS. I agree that, during and after my employment
                  with the Company, I will maintain in secrecy and not disclose,
                  duplicate or use for myself or any other person or entity, and
                  Trade Secrets of Company (as defined below), except for the
                  purpose of performing my employment duties at Company or as
                  authorized in writing in advance by Company. "Trade Secrets"
                  shall mean all information that is not generally known to the
                  public and is important to Company which I learn of in the
                  course of my employment with Company, including, but not
                  limited to, any information relating to Company's products and
                  services, rates and pricing

<PAGE>

                  policies for its clients and payors, cost estimates, marketing
                  strategies, financial information, customer list, referral
                  sources and methods of operation, business plans, procedures
                  and strategies and any scientific or technical information.
                  Trade Secrets shall not include information that is or becomes
                  generally known to the public other than through my breach of
                  this agreement. I agree that all copies of materials
                  containing Trade Secrets are the exclusive property of the
                  Company and, if in my possession, shall be immediately
                  returned to Company upon request and upon termination of my
                  employment.

            E.    RESTRICTIONS ON COMPETITIVE EMPLOYMENT. During the term of my
                  employment and for a period of one (1) year after termination,
                  for any reason, of my employment, absent the Company's prior
                  written approval and terms indicated in the offer of
                  employment letter (if any), I will not (as an individual,
                  principal, agent, employee, contractor, consultant, or
                  otherwise), in any service area where Company arranges for or
                  provides, directly or indirectly, behavioral health care
                  services ("Territory"), engage, directly or indirectly, in
                  activities with, or render services to, any individual or
                  business that competes with the Company in the managed
                  behavioral health care services industry including EAP
                  services. For purposes of this paragraph, the definition of
                  "managed behavioral health care services industry" shall not
                  prohibit me from providing clinical services as a clinical
                  psychologist or service as an administrator of a hospital or
                  other provider of mental health services, other than a managed
                  behavioral health care organization. In addition, during my
                  employment and for one (1) year thereafter, I will not have an
                  equity interest in any such firm other than as 1% or less
                  shareholder of a public corporation.

            F.    RECRUITMENT. During my employment for a period of one (1)
                  years after termination, for any reason, of my employment, I
                  will not, directly or indirectly (i) induce, or attempt to
                  induce, any employee, agents or consultants of or to the
                  Company to do anything from which I am restricted by reason of
                  this Agreement; (ii) pursue, , or contact, or cause any other
                  party in my behalf to pursue or solicit or otherwise contact,
                  for business purposes any existing customer of the Company or
                  any perspective customer of the Company with which I had
                  contact during the term of my employment; (iii) offer or aid
                  to offer employment to any employees of the Company; or (iv)
                  interfere with existing or proposed contracts, business
                  agreements or other arrangements, between the Company and any
                  other individual, firm or enterprise including, but not
                  limited to, third party payors, through disrupting or
                  diverting or attempting to divert such contracts, business
                  agreements or other arrangements to any other individual, firm
                  or enterprises.

            G.    I acknowledge and agree that the foregoing restrictions are
                  fair and reasonable to protect the Company's legitimate
                  business interest and do not unfairly impair my ability to
                  secure other appropriate employment.

<PAGE>

            H.    INJUNCTIVE RELIEF. I hereby acknowledge and agree that Company
                  shall suffer irreparable harm in the event that I breach any
                  of my obligations under this agreement and that monetary
                  damages shall be inadequate to compensate the Company for such
                  Breach. Therefore, I agree that if I should breach this
                  Agreement, Company will be entitled, in addition to any other
                  lawful remedies, to have me enjoined from further breach of
                  this Agreement and to recover the monetary damages it has
                  suffered as a result of that breach. I further agree that
                  Company will be entitled to recover from me all of the legal
                  expenses and costs it incurs in enforcing its rights under
                  this Agreement.

            I.    BURDEN AND BENEFIT. I agree that this Agreement shall insure
                  to the benefit of, and be binding upon, my heirs, executors,
                  administrators and assigns and the successor and assigns of
                  the Company.

            J.    GOVERNING LAW. I agree that this Agreement is made and shall
                  be construed in accordance with and governed for all purposes
                  by the state of operation of APS.

      10)   NON-COMPETITION AGREEMENT: APS will indemnify and defend you against
any claims made against you for having violated the Non-Compete Agreement you
have with Options as a result of your signing a Non-Compete Agreement with
American Psych Management dated March 3, 1993.

      11)   EXPENSE ACCOUNT: Employee shall be reimbursed for reasonable and
necessary expenses in accordance with APS' policies and in a manner as agreed
upon by the Board of Directors of APS.

      12)   NO ASSIGNMENTS: This Agreement is personal to each party and neither
party may assign or delegate any of its rights or obligations hereunder without
first obtaining the written consent of the other party.

      13)   AMENDMENTS: No amendments or additions to this Agreement shall be
binding unless in writing and signed by both parties expect as herein otherwise
provided.

      14)   SEVERABILITY: If any provision of this Agreement shall be declared
invalid or unenforceable by a court of competent jurisdiction or becomes invalid
or unenforceable by passage or operation of any law such actions shall not
invalidate or render unenforceable the remaining provisions of this Agreement.

      15)   APPLICABLE LAW: This Agreement shall be governed in all respects
whether relative to validity, construction, capacity and performance or
otherwise by the laws of the state of operations of APS and Employee.

      16)   PARAGRAPH HEADINGS: Paragraph headings used in this Agreement are
included solely for convenience and shall not effect or be used in connection
with the interpretation of this Agreement.

<PAGE>

      17)   EXCLUSIVITY: This Employment Agreement, as supplemented by actions
of the APS Board of Directors as contemplated herein, expresses exclusively all
terms of the employment of Employee by APS.

      18)   ARBITRATION OF DISPUTES: If any dispute arises with respect to any
of the terms or provisions of this Agreement, the parties agree that such
dispute will be settled in Montgomery County, Maryland, in accordance with the
commercial arbitration rules of the American Arbitration Association.

      19)   VOLUNTARY EXECUTION: Employee and APS hereby acknowledge that this
Agreement is entered into voluntarily and that Employee understands the
consequences of signing this Agreement.

EMPLOYEE                               EMPLOYER

                                       AMERICAN PSYCH SYSTEMS, INC.
/s/ Rich Kodora
--------------------------------
Rich Kodora

Date: 1/7/00                           By: /s/ Ken Kessler
     ----------------------------          ----------------------------------
                                             Ken Kessler, MD
                                             President & Chief Executive Officer
Witness:
         ------------------------
                                       Date:    1/7/00
                                            ---------------------------------

                                       Witness:

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