EXHIBIT 3.69

    STATE OF DELAWARE
   SECRETARY OF STATE
DIVISION OF CORPORATIONS
FILED 10:31 AM 01/11/2001
   010019944 - 3343425

                            CERTIFICATE OF FORMATION
                                       OF
                    BHC STREAMWOOD MANAGEMENT SERVICES, LLC

                  The undersigned, an authorized natural person, for the purpose
of forming a limited liability company, under the provisions and subject to the
requirements of the State of Delaware (particularly Chapter 18, Title 6 of the
Delaware Code and the acts amendatory thereof and supplemental thereto, and
known, identified, and referred to as the "Delaware Limited Liability Company
Act"), hereby certifies that:

                  FIRST: The name of the limited liability company (hereinafter
called the "limited liability company") is BHC Streamwood Management Services,
LLC.

                  SECOND: The address of the registered office and the name and
the address of the registered agent of the limited liability company required to
be maintained by Section 18-104 of the Delaware Limited Liability Company Act
are Corporation Service Company, 2711 Centerville Road, Suite 400, Wilmington,
Delaware 19808.

Executed on January 10, 2001

                                                    /s/ Paul D. Gilbert, Esq.
                                                    ----------------------------
                                                    Paul D. Gilbert, Esq.
                                                    Authorized Person



                                                           STATE OF DELAWARE
                                                          SECRETARY OF STATE
                                                       DIVISION OF CORPORATIONS
                                                       FILED 04:00 PM 03/22/2001
                                                          010142542 - 3343425

                                 CERTIFICATE OF
                                AMENDMENT TO THE
                           CERTIFICATE OF FORMATION OF
                     BHC STREAMWOOD MANAGEMENT SERVICES, LLC

BHC Streamwood Management Services, LLC, a limited liability company organized
under the Delaware Limited Liability Company Act (the "Act"), for the purpose of
amending its Certificate of Formation pursuant to Section 18-202 of the Act,
hereby certified that Paragraph 1 of the Certificate of Formation is amended to
read in its entirety as of follows:

                  1.       The name of the limited liability company is BHC
Management Services of Streamwood, LLC.

                  IN WITNESS WHEREOF, this Certificate of Amendment has been
duly executed by an authorized person as of the 21 day of March, 2001.

                                         BHC Streamwood Management Services, LLC

                                         By: /s/ William P. Barnea
                                             -----------------------------------
                                             William P. Barnea
                                             Authorized Person