Exhibit 10.54






               THIRD AMENDED AND RESTATED CROSS-COLLATERALIZATION
                           AND CROSS-DEFAULT AGREEMENT


                                  BY AND AMONG


                                    PHC, INC.
                              PHC OF MICHIGAN, INC.
                                PHC OF UTAH, INC.
                              PHC OF VIRGINIA, INC.
                           (collectively, "Borrower")

                                       AND

                         HELLER HEALTHCARE FINANCE, INC.
                                   ("Lender")






                                December 6, 2001




                                          Prepared   by  and  after   recording,
                                          return to:
                                          Katherine R. Lofft, Esq.
                                          Heller Healthcare Finance, Inc.
                                          2 Wisconsin Circle, 4th Floor
                                          Chevy Chase, Maryland  20815



               THIRD AMENDED AND RESTATED CROSS-COLLATERALIZATION
                           AND CROSS-DEFAULT AGREEMENT

THIS  THID  AMENDED  AND  RESTATED   CROSS-COLLATERALIZATION  AND  CROSS-DEFAULT
AGREEMENT  made as of the 6th day of  December,  2001,  is executed by and among
PHC,  INC.,  a  Massachusetts  corporation  ("PHC"),  PHC OF  MICHIGAN,  INC., a
Massachusetts  corporation  having its  principal  place of business at 200 Lake
Street, Suite 102, Peabody,  Massachusetts 01960 ("PHCM"),  PHC OF UTAH, INC., a
Massachusetts  corporation  ("PHCU"),  PHC OF VIRGINIA,  INC.,  a  Massachusetts
corporation  ("PHCVA" and collectively with PHCM and PHCU, the "Borrower"),  and
HELLER HEALTHCARE FINANCE, INC. f/k/a HCFP Funding, Inc., a Delaware corporation
having its  principal  office at 2 Wisconsin  Circle,  4th Floor,  Chevy  Chase,
Maryland 20815 ("HHF"),  the assignee of HealthCare  Financial  Partners-Funding
II, L.P. ("HCFPII")) (collectively, the "Lender").

                                    RECITALS

WHEREAS, Borrower, together with PHC of Rhode Island, Inc. ("PHCRI") and Pioneer
Counseling of Virginia,  Inc.  ("Pioneer"  and,  collectively  with Borrower and
PHCRI, the "Original Borrower"), and HCFP Funding, Inc. ("HCFP Funding"), HCFPII
and   U.S.    Bank    National    Association    entered   into   that   certain
Cross-Collateralization  and Cross-Default  Agreement (the "Agreement") dated as
of July 13, 1998,  and recorded in the  official  records of the Macomb  County,
Michigan  registrar of deeds (the "Macomb  County  Records") at Liber 09402 Page
208 on March 7, 2000,  pursuant to which Original  Borrower agreed,  among other
things, to  cross-collateralize  the Loans (as defined therein) with one another
and to provide for the  cross-default  of the Loans with one another (as amended
and restated by that certain  Amended and Restated  Cross-Collateralization  and
Cross-Default  Agreement  dated as of May 26,  2000 by and  among  the  Original
Borrower   and  HHF  and  by  that   certain   Second   Amended   and   Restated
Cross-Collateralization  and Cross-Default Agreement dated as of March ___, 2001
by and among PHC,  Original Borrower and HHF, as amended and restated hereby and
as it may be further  amended,  restated,  supplemented or modified from time to
time, the "Agreement").

WHEREAS,  Borrower is  currently  indebted to Lender  pursuant to the  following
existing loans (collectively, the "Existing Loans"):

          (a)  a secured term loan (as it may be  increased  or  decreased  from
               time to time,  the "December 2001 Secured Term Loan") from Lender
               to the  Original  Borrower  in the  maximum  aggregate  principal
               amount of Two  Million  Six Hundred  Eighty-Eight  Thousand  Five
               Hundred  Ninety-Eight and No/100 Dollars  ($2,688,598.00),  which
               December  2001  Secured  Term Loan is  evidenced  by that certain
               Consolidating  Amended and  Restated  Secured  Term Note dated of
               even date  herewith  and  executed by Borrower in favor of Lender
               (as it may be amended,  modified  or restated  from time to time,
               the "Consolidating Term Note"); and

          (b)  a revolving credit loan (as it may be increased or decreased from
               time to time, the "February 1998 Revolving  Loan") from Lender to
               the Original Borrower in the original maximum aggregate principal
               sum of Four  Million and No/100  Dollars  ($4,000,000.00),  which
               February  1998  Revolving  Loan is evidenced by that certain Loan
               and Security Agreement dated as of February 20, 1998 by and among
               the  Original  Borrowers  and HCFP Funding (as it may be amended,
               modified or restated from time to time, the "Loan Agreement") and

               that certain  Revolving Credit Note dated as of February 20, 1998
               made by Original Borrowers in favor of HCFP Funding (as it may be
               amended,  modified or restated from time to time,  the "Revolving
               Credit Note"),  and the maximum aggregate  principal sum of which
               February  1998  Revolving  Loan has been reduced to Three Million
               and No/100 Dollars ($3,000,000.00);

WHEREAS,  to secure all of the Existing  Loans,  PHCM has executed  that certain
Amended and Restated  Consolidated  Mortgage  dated of even date  herewith  (the
"Amended  Consolidated  Mortgage"),  which  Consolidated  Mortgage,  among other
things,  secures  all of the  Existing  Loans  with a lien on the PHCM  property
described therein;

WHEREAS, Lender has agreed to maintain the Existing Loans, provided that each of
the entities comprising Borrower agrees to execute this Agreement providing for,
among other things, the  cross-collateralization  and cross-defaulting of all of
the Existing Loans,  and that each of the entities  comprising  Borrower further
agrees that this  Agreement  shall be submitted  promptly  for  recording in the
Macomb County Records together with the Amended Consolidated Mortgage; and

WHEREAS,  the entities  comprising  Borrower are all  affiliated  entities under
common  control and  ownership  (except  that PHC is a public  company) and will
receive direct and indirect  benefits from the continuance of the Existing Loans
and of the financing  arrangements  represented thereby,  which benefits,  among
others, provide adequate consideration for them to enter into this Agreement.

NOW, THEREFORE,  in consideration of the foregoing Recitals, to induce Lender to
continue the Existing Loans and the financing  arrangements  represented thereby
and by the other  Loan  Documents  (as  defined  below)  and for other  good and
valuable  consideration,  the  receipt  and  sufficiency  of  which  are  hereby
acknowledged,  Borrower  agrees with Lender and Lender agrees with Borrower,  as
follows:

     1. Loan  Documents.  As used in this Agreement,  the term "Loan  Documents"
shall mean any and all loan  documents  evidencing or securing any or all of the
February 1998 Revolving Loan and the December 2001 Secured Term Loan.

     2.   Cross-Collateralization.   Each  of  the  Existing   Loans  is  hereby
cross-collateralized  with each of the other Existing Loans, and Borrower agrees
that the collateral described in the Loan Documents with respect to any Existing
Loan shall, in addition to securing such Existing Loan as described in such Loan
Documents,  secure  the  obligations  of any or all of the  entities  comprising
Borrower,  as the case may be,  under  all of the other  Existing  Loans and the
respective Loan Documents relating thereto,  including without  limitation:  (a)
the  obligation  of any  Borrower or its  Affiliates  to pay the  principal  and
interest on any or all of the  Existing  Loans,  as the case may be, as the same
may hereafter be renewed,  modified,  amended or extended,  and to pay all other
indebtedness or other fees, expenses or other charges with respect thereto,  and
to perform all of the terms and  conditions  under the Loan Documents in respect
of any or all of the Existing Loans,  and (b) the obligation of PHC with respect
to the real  property  encumbered  by the  Amended  Consolidated  Mortgage  that
secures all of the Existing Loans as set forth above.

     3. Cross-Default. Each of the Existing Loans is hereby cross-defaulted with
each of the other Existing Loans,  and Borrower agrees that the occurrence of an
Event of Default as defined in, and pursuant to any of the Loan  Documents  with
respect to any  Existing  Loan,  which Event of Default is not cured  within the
applicable  period as set forth therein,  shall constitute an immediate Event of
Default  (without need of notice or the expiration of any additional cure period
other than as specified in such Loan Documents)  under all of the other Existing


Loans and the respective Loan Documents relating thereto.

     4. Severability.  In case any provision of this Agreement shall be invalid,
illegal, or unenforceable,  such provision shall be deemed to have been modified
to the extent necessary to make it valid,  legal and enforceable.  The validity,
legality and enforceability of the remaining  provisions shall not in any way be
affected or impaired thereby.

     5. No Modification  Except in Writing.  None of the terms of this Agreement
may be waived, altered,  amended or otherwise changed except by an instrument in
writing duly executed by all of the parties hereto.

     6. Further  Assurances.  Each entity comprising  Borrower shall execute and
deliver  such  further  instruments  and  perform  such  further  acts as may be
requested  by  Lender  from  time to  time to  confirm  the  provisions  of this
Agreement and the Loan Documents,  to carry out more effectively the purposes of
this  Agreement and the Loan  Documents,  or to confirm the priority of any lien
created by any of the Loan Documents.

     7. Enforceability.  Each entity comprising Borrower represents and warrants
to Lender that this  Agreement and the Loan  Documents are the legal,  valid and
binding obligations of each entity constituting Borrower, jointly and severally,
and are enforceable against each such entity in accordance with their respective
terms.

     8. Recording; Binding Effect.

          (a)  This  Agreement will be recorded in the Macomb County Records and
               the  official  records  of  the  City  of  Salem,   Virginia.  In
               connection with the recordation of this Agreement,  all necessary
               recording,  intangible,  or documentary  stamp taxes will be duly
               paid by the Borrower. THIS AGREEMENT IS BEING GIVEN AS ADDITIONAL
               COLLATERAL TO SECURE THE  OBLIGATIONS OF THE RESPECTIVE  ENTITIES
               COMPRISING BORROWER UNDER THEIR RESPECTIVE LOAN DOCUMENTS.

          (b)  This Agreement  shall be binding upon and inure to the benefit of
               the parties hereto and their  respective  heirs,  administrators,
               successors and assigns.

     9.  Controlling  Law. This  Agreement  shall be governed by the laws of the
State of Maryland  without regard to any otherwise  applicable  conflicts of law
principles.

     10. Release. Except for Lender's obligations, if any, to Borrower under the
Loan Documents,  each entity  comprising  Borrower,  on behalf of itself and its
partners,  affiliates,  successors  and assigns  (collectively,  the  "Releasing
Parties"),  hereby  releases  and  forever  discharges  Lender  and  each of its
parents,  subsidiaries and affiliated  corporations and partnerships  (including
the  partners  therein and  thereof),  and the  partners,  partners of partners,
subsidiaries,   divisions,   affiliates,   officers,  directors,   shareholders,
trustees,  employees,  agents,  attorneys and advisors of each of the foregoing,
and each of their respective heirs,  successors and assigns  (collectively,  the
"Released  Parties",  all of whom are intended to be the  beneficiaries  of this
release)  from any and all  claims  and  causes of action of  whatever  kind and
nature based upon acts or omissions by any of them, whether such claims,  causes
of  action,  acts or  omissions  are or were  known  or  unknown,  suspected  or
unsuspected, which the Releasing Parties or any of them may have or have had, in
whole or in part, prior to the date of this Agreement.


     11. WAIVER OF JURY TRIAL. EACH ENTITY COMPRISING BORROWER HEREBY WAIVES ANY
RIGHT TO A TRIAL BY JURY ON ANY CLAIM,  COUNTERCLAIM,  SETOFF, DEMAND, ACTION OR
CAUSE OF ACTION (A) ARISING OUT OF OR IN ANY WAY  RELATED TO THIS  AGREEMENT  OR
THE EXISTING LOANS, OR (B) IN ANY WAY CONNECTED WITH OR PERTAINING OR RELATED TO
OR INCIDENTAL TO ANY DEALINGS OF LENDER AND/OR BORROWER WITH RESPECT TO THE LOAN
DOCUMENTS OR IN  CONNECTION  WITH THIS  AGREEMENT OR THE EXERCISE OF ANY PARTY'S
RIGHTS AND REMEDIES  UNDER THIS  AGREEMENT OR  OTHERWISE,  OR THE CONDUCT OR THE
RELATIONSHIP  OF THE PARTIES  HERETO,  IN ALL OF THE FOREGOING CASES WHETHER NOW
EXISTING  OR  HEREAFTER  ARISING  AND  WHETHER  SOUNDING  IN  CONTRACT,  TORT OR
OTHERWISE. EACH ENTITY COMPRISING BORROWER AGREES THAT LENDER MAY FILE A COPY OF
THIS AGREEMENT WITH ANY COURT AS WRITTEN EVIDENCE OF THE KNOWING, VOLUNTARY, AND
BARGAINED  AGREEMENT OF BORROWER  IRREVOCABLY  TO WAIVE THEIR RIGHTS TO TRIAL BY
JURY,  AND THAT,  TO THE EXTENT  PERMITTED  BY  APPLICABLE  LAW,  ANY DISPUTE OR
CONTROVERSY  WHATSOEVER  (WHETHER OR NOT MODIFIED  HEREIN) BETWEEN  BORROWER AND
LENDER SHALL  INSTEAD BE TRIED IN A COURT OF COMPETENT  JURISDICTION  BY A JUDGE
SITTING WITHOUT A JURY.

     IN WITNESS  WHEREOF,  each party  hereto has caused  this  Agreement  to be
properly  executed on the date of the  respective  notarial  acknowledgment  set
forth below.

                                    BORROWER:

WITNESS:                            PHC, INC., a Massachusetts corporation

/s/  Paula C. Wurts
Name:

/s/  Janet Esterkes                 By:    /s/  Bruce A. Shear
Name:                               Name:       Bruce A. Shear
                                    Title:      President


WITNESS:                            PHC OF MICHIGAN, INC., a Massachusetts
                                    corporation

/s/  Paula C. Wurts
Name:

/s/  Janet Esterkes                 By:    /s/  Bruce A. Shear
Name:                               Name:       Bruce A. Shear
                                    Title:      President


WITNESS:                            PHC OF UTAH, INC., a Massachusetts
                                    corporation

/s/  Paula C. Wurts
Name:

/s/  Janet Esterkes                 By:    /s/  Bruce A. Shear
Name:                               Name:       Bruce A. Shear
                                    Title:      President




                       [SIGNATURES CONTINUED ON NEXT PAGE]

WITNESS:                            PHC OF VIRGINIA, INC., a Massachusetts
                                    corporation

/s/  Paula C. Wurts
Name:

/s/  Janet Esterkes                 By:    /s/  Bruce A. Shear
Name:                               Name:       Bruce A. Shear
                                    Title:      President


                                    LENDER:

                                    HELLER HEALTHCARE FINANCE, INC. f/k/a HCFP
                                    FUNDING, INC., a Delaware
                                    corporation, the assignee of HealthCare
                                    Financial Partners-Funding II, L.P.
WITNESS:


__________________________          By:    /s/  Brett Robinson
Name:                               Name:       Brett Robinson
                                    Title:      Vice President

_________________________
Name:









                              NOTARY ACKNOWLEDGMENT

STATE OF MASSACHUSETTS)
COUNTY OF ESSEX)

Before  me, a  Notary  Public  in and for said  County  and  State,  on this day
personally  appeared  Bruce A. Shear known to me (or proved to me on the oath of
____________)  to be the  person  whose  name  is  subscribed  to the  foregoing
instrument,  and  known  to me  to be  the  managing  member  of  PHC,  INC.,  a
Massachusetts  corporation,  and  acknowledged  to  me  that  he  executed  said
instrument for the purposes and consideration  therein expressed,  as the act of
said corporation.

Given under my hand and seal this 10th day of December, 2001:



                                  Paula C. Wurts
                                  Notary Public

My Commission Expires:  November 29, 2002.






                              NOTARY ACKNOWLEDGMENT


STATE OF MASSACHUSETTS)

COUNTY OF ESSEX)

     Before me, a Notary  Public in and for said  County and State,  on this day
personally  appeared  Bruce A. Shear known to me (or proved to me on the oath of
____________)  to be the  person  whose  name  is  subscribed  to the  foregoing
instrument,  and known to me to be the managing member of PHC OF MICHIGAN, INC.,
a  Massachusetts  corporation,  and  acknowledged  to me that he  executed  said
instrument for the purposes and consideration  therein expressed,  as the act of
said corporation.

      Given under my hand and seal this 10th day of December, 2001:



                                  Paula C. Wurts
                                  Notary Public

My Commission Expires:  November 29, 2002.





                              NOTARY ACKNOWLEDGMENT

STATE OF MASSACHUSETTS)

COUNTY OF ESSEX)

     Before me, a Notary  Public in and for said  County and State,  on this day
personally  appeared  Bruce A. Shear known to me (or proved to me on the oath of
____________)  to be the  person  whose  name  is  subscribed  to the  foregoing
instrument,  and known to me to be the managing  member of PHC OF UTAH,  INC., a
Massachusetts  corporation,  and  acknowledged  to  me  that  he  executed  said
instrument for the purposes and consideration  therein expressed,  as the act of
said corporation.

     Given under my hand and seal this 10th day of December, 2001:



                                  Paula C. Wurts
                                  Notary Public

My Commission Expires:  November 29, 2002.





                              NOTARY ACKNOWLEDGMENT

STATE OF MASSACHUSETTS)

COUNTY OF ESSEX)

     Before me, a Notary  Public in and for said  County and State,  on this day
personally  appeared  Bruce A. Shear known to me (or proved to me on the oath of
____________)  to be the  person  whose  name  is  subscribed  to the  foregoing
instrument,  and known to me to be the managing member of PHC OF VIRGINIA, INC.,
a  Massachusetts  corporation,  and  acknowledged  to me that he  executed  said
instrument for the purposes and consideration  therein expressed,  as the act of
said corporation.

     Given under my hand and seal this 10th day of December, 2001:



                                  Paula C. Wurts
                                  Notary Public

My Commission Expires:  November 29, 2002.






                              NOTARY ACKNOWLEDGMENT

STATE OF ____________________)

COUNTY OF __________________)

     Before me, a Notary  Public in and for said  County and State,  on this day
personally  appeared  Bruce A. Shear known to me (or proved to me on the oath of
____________)  to be the  person  whose  name  is  subscribed  to the  foregoing
instrument,  and known to me to be the of HELLER  HEALTHCARE  FINANCE,  INC.,  a
Delaware  corporation,  and  acknowledged to me that he executed said instrument
for  the  purposes  and  consideration  therein  expressed,  as the  act of said
corporation.

     Given under my hand and seal this _____ day of ________, 2001:



                                 ________________________________
                                  Notary Public

My Commission Expires:  _________________________





This Instrument prepared by, and upon recording should be returned to:

Katherine R. Lofft, Esq.
Heller Healthcare Finance, Inc.
2 Wisconsin Circle, 4th Floor
Chevy Chase, Maryland  20815