To determine the effectiveness of an inter-professional case management approach in reducing blood pressure and improving medication self-efficacy and adherence, and reducing stroke recurrence in SPC patients with confirmed stroke or probable Transient Ischemic Attack (TIA), and uncontrolled hypertension, and deficits in cognition, medication self-efficacy, and/or medication adherence. This study builds on the objectives of two previous studies that identified predictors of achievement of blood pressure targets and the feasibility of a Secondary Stroke Prevention Clinic (SPC) case management model.