The last two decades have seen significant changes in organizational structures within higher education. Counseling centers are no exception and have been the target of reorganizations and mergers that often involve student health services. Outcomes of these efforts have varied; some being quite successful while others have resulted in failures and the re-creation of systems that are remarkably similar to the ones that existed in the first place. An examination of the positive and negative issues relevant to mergers and reorganizations of counseling centers can be helpful in the determination of whether or not to proceed with one. In the event the decision is made to proceed, a systematic process that encourages consideration of essential steps relevant to mergers or reorganizations can promote improved decision-making and outcomes.

Workplace turnover is destructive to organizations both financially and operationally. The cost of selecting and replacing the wrong candidate for a position ranges from a few thousand to several million dollars. The goal for this correlational study was to assess the efficacy of an applicant test instrument for identifying key personality traits of direct service professionals (DSP) in the developmental disabilities arena which correlate with successful job tenure and decrease turnover cost. The theoretical framework that grounded this study was the poor job fit theory. The population studied consisted of DSP's hired by an organization in Glynn County, GA. Anonymous candidates' data were obtained by the screening test and stratified into 2 categories: successful employees (48 of those remaining in their position for a year or longer) and unsuccessful employees (48 of those remaining in their position less than 1 year),the secondary historical data from the test instrument were analyzed via a binary multiple logistics regression model. Since inferential statistical analysis results revealed no statistical significance (at the .05 level) of any of the 5 test category variables for predicting successful employment (a year or longer) or unsuccessful employment (less than a year), The analysis revealed that the Talent Acquisition - Healthcare Services Profile - Clinical Test is not a successful screening tool for the subject population. When organizations hire the right candidates for healthcare positions, beneficial social change can occur when a higher quality of care is delivered, making a positive contribution to the lives of the caregivers, patients, and patients' families.