A TIRO screening and assessment,as steps in the process,support the provision of quality services. Quality services that reflect the change in perspective from what is "wrong" with you to what "happened" to you or "didn't happen." This is a focus and shift from symptoms and disorder,which may only partially explain what the individual is experiencing to truly reflecting on the experience of the individual receiving services currently and historically. TIRO screening and assessment also supports a preventative approach to treatment,identifying individuals that may be at risk for more severe symptoms of traumatic stress. The process helps organizations identify individuals and families'needs early and tailor services to meet those needs. Both screening and assessment play an important role in TIRO care; however,they are uniquely different.