Exhibit 2.8

                      AMENDMENT TO EMPLOYMENT AGREEMENT

     This Amendment to Employment Agreement (this "Amendment") is effective 
as of December 4, 1997, by and among Magellan Health Services, Inc., a 
Delaware corporation ("Employer") and Paul G. Shoffeitt ("Officer").

                                  W I T N E S S E T H:
                                  - - - - - - - - - -

     WHEREAS, Employer and Shoffeitt entered into that certain Letter 
Agreement dated April 1, 1997 (the "Employment Agreement");

     WHEREAS, the parties recognize that due to a current medical condition, 
Shoffeitt is unable to fully perform his duties under the Employment 
Agreement, and the parties therefore desire to amend the terms of the 
Employment Agreement as set forth herein;

     NOW, THEREFORE, in consideration of the mutual covenants and agreements 
set forth herein and other good and valuable consideration, the receipt and 
adequacy of which are hereby acknowledged, the parties hereto, intending to 
be legally bound, do hereby covenant and agree as follows:

1.     Section 1 of the Employment Agreement is hereby deleted and amended to 
read in its entirety as follows:

     1.     Employment. Employer agrees to employ Officer on a part-time 
            ----------
basis, and Officer accepts such part-time employment, commencing on April 1, 
1997, and continuing up to and including December 31, 2001, unless terminated 
earlier pursuant to Section 6 below. After the initial term, this Agreement 
will automatically renew on January 1 of each year for successive one year 
terms (on the same terms and conditions) unless either party gives written 
notice to the other at least 30 days prior to the expiration of the then 
current term, of its election not to renew this Agreement. If during the term 
hereof, Officer's medical condition permits an increase in the time he is 
able to devote to his duties hereunder, Officer shall inform Employer of such 
increased availability, and subject to Employer's needs, the parties shall 
negotiate in good faith with respect to a possible increase in Officer's 
duties, and with respect to a possible increase in compensation which may be 
appropriate in light of such increase in Officer's duties.

2.     Section 3(a) is hereby amended by deleting the third sentence thereof 
and replacing it with the following: "Further, Employer agrees Officer shall 
only be required to travel to the extent he is reasonably able, estimated to 
be one business day every other week."

3.     Section 6(c) is hereby amended by deleting such Section in its 
entirety and replacing it with the following:





     (c) DISABILITY OF OFFICER. If Officer becomes Disabled, Employer may 
         ----------------------
     terminate this Agreement at any time, and any such termination shall be 
     deemed a termination without cause under Section 6(b) above, and in the 
     event of such a termination, Officer shall be entitled to all of the 
     rights set forth in Section 6(b) above. Officer shall be deemed Disabled 
     if Employer determines that Officer is, by reason of any physical or 
     mental condition, unable to perform a substantial portion of his 
     essential duties on a part-time basis pursuant to this Agreement. This 
     Section 6(c) shall survive the termination of this Agreement.

3.   A new Section 8 is hereby added (and each subsequent section renumbered 
accordingly), to read in its entirety as follows:

     8.    COMPETING ACTIVITIES
           --------------------

     (a)   Officer hereby covenants and agrees, that during the period 
           commencing on the date hereof and ending one year following the 
           expiration or termination of this Agreement (the "Covenant 
           Period"), he shall not accept employment or consulting work with, 
           or advise, assist or be connected in any way, with any person or 
           entity which is or proposes to be, conducting, carrying on or 
           engaging in the Business (as defined below) anywhere in the United 
           States (the "Territory").

     (b)   Officer hereby covenants and agrees that during the Covenant 
           Period, he shall refrain from soliciting business from customers 
           of Employer or its subsidiaries which were customers of Employer 
           or its subsidiaries on the date hereof or at any time during the 
           Covenant Period, or from any person sought as a prospective 
           customer of Employer or its subsidiaries on the date hereof or at 
           any time during the Covenant Period, for purposes of providing 
           services within the Territory which are competitive with the 
           business conducted by Employer and/or its subsidiaries.

     (c)   For purposes of this Agreement, the term "Business" shall mean the 
           business of providing specialty managed health care services in 
           the areas of cardiology, ophthalmology, diabetes, asthma, oncology 
           and other medical sub-specialty areas, including related case or 
           care management, administrative services, utilization management, 
           quality management, certification or pre-admission or 
           pre-treatment certification, assessment and referral, staff 
           clinical services, provider network services and 
           preferred/exclusive provider organization services.

     (d)   Notwithstanding anything to the contrary contained herein, Officer 
           shall not be restricted during or after the term of this Agreement 
           from (i) being an employee or consultant to Green Spring Health 
           Services, Inc., or (ii) treating clinical patients and practicing 
           clinical psychology.



     IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be 
executed as of the day and year first written above.


                                            SHOFFEITT:
Witness:

/s/                                         /s/ Paul G. Shoffeitt
- ------------------------------------        ------------------------------------
                                            Paul G. Shoffeitt



                                            MAGELLAN:
                                            --------
                                            Magellan Health Services, Inc.


Attest:                                     By: /s/ Craig McKnight          SEAL
                                               ---------------------------------
                                            Name:  Craig McKnight              
/s/                                         Title: Executive Vice President &  
- ------------------------------------               Financial Officer (CFO)