The idle speed is controlled by the computer - it attempts to control to a preset 672 rpms with the IAB solenoid which is capable of letting more/less air bypass the throttle plate in response to what the computer senses and tells it to do. The screw referred to above is a throttle stop, not an idle adjust screw. Ford never intended for the idle speed to be changed or adjusted.
First thing I'd do is pull the diagnostic codes and see if the computer is telling you what the problem might be. If you don't have a scanner/don't know how, go to Autozone or PepBoys and they'll usually pull them for you. Just a guess - more than likely, your IAB solenoid and/or throttle body is clogged up/dirty. I'd pull them both off and give them a thorough cleaning. Then reassemble, disconnect the battery for a while to clear any memory the computer has of trying to cope with the issue, and restart the engine. See what you've got then.
If you decide to simply alter the position of the throttle stop by turning the screw, that will alter your idle-tps setting. You should check it after you turn the screw. It should be between .85V-.95V with the engine warm and the ignition on/engine off. That's measured between the black and green wire of the tps. However, I wouldn't just turn the screw. As often as not that can make the problem/symptoms even worse.