Iowa Supreme Court Attorney Disciplinary Board v. Mary Ellen Kennedy ( 2013 )


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  •                IN THE SUPREME COURT OF IOWA
    No. 13–0372
    Filed September 27, 2013
    IOWA SUPREME COURT ATTORNEY DISCIPLINARY BOARD,
    Complainant,
    vs.
    MARY ELLEN KENNEDY,
    Respondent.
    On review of the report of the Grievance Commission of the
    Supreme Court of Iowa.
    Grievance commission recommends suspension of attorney’s law
    license for ethical violations. LICENSE SUSPENDED.
    Charles L. Harrington and David J. Grace, Des Moines, for
    complainant.
    Roger L. Sutton, Sr. of Sutton Law Office, Charles City, for
    respondent.
    2
    MANSFIELD, Justice.
    An Iowa attorney neglected several client matters, delayed
    proceedings, failed to communicate with her clients, failed to respond to
    disciplinary inquiries, and made groundless allegations that prosecutors
    had engaged in wrongdoing.       Previously, this attorney had received a
    sixty-day suspension of her license primarily for neglecting client
    matters, as well as several public reprimands for various ethical
    violations. This attorney suffers from some health disorders, for which
    she is being treated, and does not presently practice law.
    The Iowa Supreme Court Attorney Disciplinary Board brought
    charges against this attorney relating to six different clients.   After a
    hearing, a division of the Grievance Commission of the Supreme Court of
    Iowa found numerous ethical violations and recommended the attorney’s
    license to practice law be suspended indefinitely with no possibility of
    reinstatement for one year. Upon our de novo review, we concur in most
    of the findings of rule violations and agree that a one-year suspension is
    appropriate.
    I. Factual Background.
    Mary Ellen Kennedy was admitted to practice law in Iowa in 1993.
    Before practicing law, Kennedy obtained degrees in secondary education
    and history and served as a high school and college teacher.
    This case concerns Kennedy’s handling of six client matters as a
    solo practitioner in Waterloo.    The crux of the Board’s complaint is
    neglect of client matters, although the Board also contends Kennedy took
    certain improper steps when she did act on her clients’ behalf. We turn
    to those matters.
    A. Robinson Matter.      Stephanie Robinson retained Kennedy in
    2008 to petition for dissolution of her marriage.    She paid Kennedy a
    3
    $700 retainer.      Robinson’s then-husband, the respondent, lived in
    Benton County, but Kennedy mistakenly sent papers to the Linn County
    Sheriff, causing a delay in service.
    The dissolution trial was set for October 18, 2010. Both parties
    appeared, Stephanie Robinson with Kennedy and Stephanie’s husband
    Thomas without an attorney. Kennedy, however, was not prepared for
    trial, and the district court reset the trial date.   The district court
    explained:
    Although Attorney Kennedy stated that the matter was
    ready for trial, it became apparent, after discussion with
    Attorney Kennedy and the Respondent that the parties were
    nowhere near prepared to proceed with trial as scheduled,
    even though this case has been on file since April 16, 2008.
    The parties had not exchanged financial information or ascertained a
    number of facts needed to calculate child support payments.
    Following the rescheduled trial, the district court ordered the
    marriage dissolved and determined custody, child support, and division
    of property. The court directed Kennedy to prepare a qualified domestic
    relations order (QDRO) “which will divide both of the accounts equally
    awarding [Stephanie Robinson] 50 percent of the balance.”       Kennedy
    never prepared the QDRO. Kennedy also acknowledges she neglected the
    matter, did not adequately communicate with her client, and was not
    ready for the initial trial date.
    The Board asserts that Kennedy violated Iowa Rules of Professional
    Conduct 32:1.1, 32:1.3, 32:1.4, 32:3.2, and 32:8.4(d), in connection with
    this matter.
    B. Merrill Matter.        In 2009, Kennedy was hired to request
    reconsideration of Nathan Merrill’s prison sentence. She received a $500
    retainer from Merrill’s stepfather. Kennedy did some work on the matter,
    4
    and kept the $500, but never filed a motion for reconsideration.
    Kennedy acknowledges she should have filed the motion, stating:
    Judge Fister said he wouldn’t entertain any more
    reconsideration requests until [my client] took some classes,
    so I repeatedly wrote to him . . . [t]hat . . . he should take
    those classes because he had some kind of treatment that
    [his stepfather] would set up for him. However, I should
    have gone ahead and answered the reconsideration request,
    whether or not Judge Fister said he would entertain it or
    not. And I didn’t do that.
    Although Kennedy insists she earned the $500 through work
    performed on the case, she did not account to her client or his stepfather
    for her use of the retainer. In addition, she failed to make a copy of her
    file and trust account ledger available to the Board for its investigation.
    The Board summarized its position: “There was no accounting, which
    we’ve tried to get that. So the Board suspects that there’s some kind of
    trust account violation here, but we have not dug into it as much as we
    could have.”
    The Board alleges that Kennedy violated rules 32:1.1, 32:1.3,
    32:1.4, and 32:3.2, arising out of her failure to file the motion.        In
    addition, it asserts she violated rule 32:1.15 and Iowa Court Rule 45.7 in
    connection with her failure to account for the retainer. Finally, because
    Kennedy failed to provide the Board with her client file and trust account
    ledger, the Board contends she violated rule 32:8.1(b).
    C. Manning Matter.      In May 2010, Kennedy was appointed to
    represent   Anthony   Manning    in   his   pending   postconviction   relief
    proceeding, after the district court granted Manning’s motion to have his
    previous attorney removed from the case. That July, the court issued a
    rule 1.944 notice that the matter would have to be tried by January 1,
    2011, or else would be subject to dismissal.          Kennedy never filed
    anything with the court. The matter was dismissed on January 3, 2011.
    5
    Kennedy did not notify Manning that his case had been dismissed. She
    explained:
    [I]n Mr. Manning’s case, I visited Mr. Manning in Fort
    Madison three times. I worked very hard on his case. But
    the communication just wasn’t there. I just couldn’t—I
    could go visit him, but I couldn’t write to him and explain
    what I was doing.
    Manning complained to the Board about Kennedy’s failure to act or
    communicate. In response, the Board requested that Kennedy provide
    copies of her correspondence with Manning. She received the Board’s
    request, but did not respond to it.
    The Board alleges that Kennedy’s failure to act in Manning’s case
    violated rules 32:1.1, 32:1.3, 32:1.4, and 32:3.2. In addition, the Board
    alleges that Kennedy’s conduct was prejudicial to the administration of
    justice in violation of rule 32:8.4(d). Finally, the Board claims Kennedy
    violated rule 32:8.1(b) by failing to respond to its requests for
    information.
    D. Flores Matter.       Kennedy represented David Flores in a
    postconviction relief proceeding.     In December 2009, the Polk County
    District Court granted relief in that proceeding, overturning Flores’s first-
    degree murder and terrorism convictions and ordering a new trial. See
    Flores v. State, No. 10–0020, 
    2011 WL 1376777
     (Iowa Ct. App. Apr. 13,
    2011).   While the State’s appeal from that ruling was pending, in
    January 2010, Kennedy wrote a letter to the Iowa Attorney General,
    alleging misconduct on the part of the Polk County Attorney’s office and
    to a lesser extent the attorney general’s office. Kennedy’s letter asserted
    that an inmate had been offered early release if he would testify against
    Flores, and when this inmate refused, he “was mistreated and isolated.”
    The letter elaborated that the inmate “[wa]s being forced to take drugs
    6
    other than those necessary for his health and which render him unable
    to function effectively.    He [wa]s being mentally, emotionally, and
    physically abused, according to the information [Kennedy] received.” The
    letter alleged that the Polk County Attorney’s office was behind the effort
    to coerce this inmate into testifying against Flores. It also accused the
    attorney general’s office of directing the department of corrections to
    prevent Kennedy from visiting inmates, including her client.
    A lengthy investigation by the Division of Criminal Investigation
    (DCI) determined that Kennedy’s allegations were totally without merit.
    The inmate in question was taking prescription medication, and the
    prescription predated the Flores litigation. The inmate had not declined
    to meet with Kennedy; rather, he had asked only that his counsel be
    present. When the DCI spoke with Kennedy during its investigation, she
    was unable to provide any specifics in support of her charges. She “told
    [the investigator] she had sources, but she refused to tell [the
    investigator] who her sources were, citing attorney/client privilege.”
    At the hearing before the commission, Kennedy expressed regret
    for her course of conduct.     She stipulated that her “statements and
    accusations were false[] and misguided by her misconception related to
    her mental instability.”   At the same time, in her hearing testimony,
    Kennedy stood by her assertion that she had “received information”
    regarding the substance of her letter. She explained:
    I received information that one of the possible
    witnesses was being I guess you would say drugged. In
    hindsight, I should have taken another route with that. I
    can’t say too much. I feel I don’t want to get into it because
    [Flores is] going to probably go to trial again.
    The commission followed up, asking what Kennedy thought “might have
    been a more appropriate course of action.” She replied:
    7
    Possibly to file a Bar Complaint. What I wanted was
    an investigation. I didn’t mean to accuse anybody and that’s
    the way it came out. I wanted—I just wanted it looked into
    because, of course, I didn’t have the capacity to do it.
    Possibly even checked with some people as to a better route
    that I could have taken. I was fairly exhausted and I just
    didn’t use good judgment.
    The Board maintains that Kennedy violated rules 32:4.1, 32:8.2(a),
    and 32:8.4(c) in connection with the Flores matter.
    E. Williams Matter. In March 2011, Kennedy was appointed to
    represent James Williams on his application for postconviction relief.
    Kennedy never contacted Williams.          Williams wrote to the court,
    explaining he had been unable to reach Kennedy, despite several
    attempts “via letters and phone calls seeking a response.”        Williams
    eventually filed a motion for withdrawal of counsel and appointment of
    substitute counsel, which stated that “to this day there has been no
    interaction of any type between counsel and Defendant, neither verbal
    nor written.” The district court granted Williams’s motion and appointed
    a new attorney to represent him in the matter.
    The Board asserts that Kennedy violated rules 32:1.3, 32:1.4, and
    32:8.4(d) in connection with Williams’s postconviction relief matter.
    F. Stocks Matter.        In October 2007, Rusty Stocks retained
    Kennedy to bring a dental malpractice case.           Stocks had incurred
    approximately $46,000 in medical expenses allegedly due to his dentist’s
    professional negligence.     Almost two years later, no petition had been
    filed against the dentist.     On August 3, 2009, Kennedy’s office sent
    Stocks a letter, stating:
    I have not heard from you in a while and our time is very
    short now to file the lawsuit. I have done some research and
    investigation on this matter and I think we can be successful
    in getting you a reimbursement for your injury. . . .
    8
    On August 28, 2009, Kennedy filed a petition against Stocks’s
    dentist, alleging the dentist had failed to fully disclose certain risks of
    treatment, and had negligently diagnosed and treated Stocks.              The
    dentist     answered   on   October   1,   2009,   denying   liability,   and
    simultaneously served a request for production of documents.              On
    January 6, 2010, Kennedy filed a notice of identification of expert
    witness, giving the name, title, and address of her anticipated expert.
    The filing contained a certification that it had been served on all parties
    by mail.
    Subsequently, the dentist’s attorney complained he had received
    neither an expert certification nor responses to his discovery. Thus, on
    May 10, 2010, he wrote Kennedy asking if she would be willing to
    dismiss the matter “in light of [her] failure to provide discovery responses
    and provide an expert designation for a standard of care violation.”
    Kennedy responded on May 14, stating that she was “very surprised by
    [the attorney’s] letter of May 10” because she had not received any
    discovery requests—“no interrogatories, no request for documents—
    nothing.”     She asked that opposing counsel send her the discovery
    requests, which he did on May 17.
    Opposing counsel served a second discovery request on Kennedy
    on June 8. The same day, opposing counsel informed Kennedy that he
    had just then received notice from the court of Kennedy’s January expert
    certification. He stated that he had never received a copy from her, and
    in any event, the notice was insufficient under Iowa Code section 668.11
    because it did not set forth the expert’s qualifications or the purpose for
    calling the expert.
    By July 12, opposing counsel sent Kennedy a letter stating all of
    her discovery responses were overdue and threatening to file a motion for
    9
    summary judgment within a week. On July 20, opposing counsel filed
    the motion, asserting the plaintiff, through Kennedy, had failed to
    provide information about his expert witness’s qualifications and the
    purpose for calling the expert within 180 days of the defendant’s answer.
    See Iowa Code § 668.11 (2009).
    Kennedy served Stocks’s answers to the defendant’s interrogatories
    the next day.    She did not furnish any further information about her
    proposed expert.    She also filed a three-paragraph resistance to the
    defendant’s motion on July 26. The filing did not address the missing
    information required by section 668.11.
    The court set a summary judgment hearing for October 5, but then
    granted Kennedy’s oral motion to continue and reset the hearing to
    November 16, 2010.      In the meantime, opposing counsel again wrote
    Kennedy, on October 11, 2010, stating he had yet to receive requested
    documents or information about the plaintiff’s expert witness.        On
    October 26, the defendant filed a motion to compel discovery, which the
    court granted on November 9.
    Before the November 16 summary judgment hearing, Stocks
    obtained new counsel and reached an agreement with the defendant to
    settle the case for $7500.
    The Board alleges that Kennedy violated rules 32:1.1, 32:1.3,
    32:1.4, 32:3.2, 32:3.4, 32:8.4(c), and 32:8.4(d) in connection with the
    Stocks matter.
    II. Procedural Background.
    The Board filed its six-count complaint against Kennedy on
    September 13, 2012.     On January 17, 2013, the Board and Kennedy
    submitted a stipulation to the commission. Therein, the parties agreed
    to certain facts and to the admission of certain exhibits.   In addition,
    10
    Kennedy stipulated that all the Board’s alleged ethical violations had
    occurred.     Also, the parties stipulated that certain aggravating and
    mitigating factors were present.     Finally, the parties waived formal
    hearing and joined in a recommended disposition.             The parties’
    recommended sanction, which they acknowledged would not be binding
    on the commission or this court, was a suspension for six months with
    reinstatement conditioned on verification of Kennedy’s fitness to practice
    law.
    The commission received the stipulation but decided to hold a
    hearing so the parties would have an opportunity to submit additional
    evidence or make arguments. Because Kennedy had not filed a timely
    answer to the Board’s original complaint, the commission deemed the
    complaint’s allegations admitted.
    At the February 11, 2013 hearing, a commission member asked
    the Board to address the client harm resulting from Kennedy’s conduct.
    The Board maintained it could only prove financial harm as to one client,
    Rusty Stocks.    Correspondence from Kennedy’s office indicated Stocks
    had a good malpractice case involving over $40,000 in medical expense
    damages alone; instead, Stocks was forced to settle the case on the eve of
    the summary judgment hearing for only $7500.
    In testimony at the hearing, Kennedy addressed what she believed
    to be the underlying cause of her ethical problems.     Based on mental
    health counseling and physician consultations, Kennedy understands
    she has anxiety disorder, depression, and obsessive-compulsive disorder.
    She discussed how these ailments have affected her practice:
    I just became in some instances just frozen, immobile.      I
    couldn’t proceed with certain things. I just couldn’t.
    ....
    11
    I had to give up my office because of my income. . . . I tried
    to work out of my home, but I couldn’t answer the phone
    even like when my son would call. I couldn’t go to the post
    office, I couldn’t go inside the post office. I couldn’t write a
    letter or mail a letter. And things like that, it was just—for
    certain areas I just froze and I absolutely just couldn’t do it.
    I had trouble leaving the house.
    ....
    I worked harder and harder and harder, because I kept
    thinking that if I worked—that it was something I was doing
    wrong, I wasn’t working hard enough for the client, but yet
    the communication just wasn’t there because I just simply
    couldn’t do it.
    ....
    The State appealed in the David Flores case where I was
    successful at the District Court level, they appealed it, the
    State appealed it, and I appeared in front of the Court of
    Appeals en banc, with all of the judges, and I was nervous
    and everything, but it hardly bothered me. I mean, I was
    confident, I did it, but then at the same time I couldn’t go to
    the post office and pick up my mail. I had to send somebody
    else.
    I wish it could explain it better why it happened, but it’s
    just—it’s just the way it was.
    Kennedy introduced into evidence a letter jointly signed by a psychiatric
    social worker and the director of a mental health center, stating that
    Kennedy’s mental health issues currently prevent her from practicing
    law.
    Kennedy conceded she is not presently fit to practice law.         She
    testified that she is now tutoring some college students, assisting an
    elderly man, and working for a “money store” lender.        She agreed her
    license to practice law should not be reinstated until she can
    demonstrate that she is fit to practice. Kennedy also acknowledged she
    had not been carrying professional liability insurance in recent years.
    Following the hearing, the commission issued its findings of fact,
    conclusions of law, and recommended sanction.           It determined that
    12
    Kennedy had committed the violations to which she had stipulated. In
    lieu of the stipulated six-month suspension, the commission proposed a
    lengthier suspension of one year, with reinstatement conditioned on a
    mental health professional’s certification of Kennedy’s fitness to practice.
    As additional conditions of reinstatement, the commission recommended
    that Kennedy associate with an attorney in good standing who would
    supervise her cases and her trust account, and provide proof of
    professional malpractice insurance.
    III. Standard of Review.
    We review attorney disciplinary proceedings de novo. Iowa Ct. R.
    35.11(1); Iowa Supreme Ct. Att’y Disciplinary Bd. v. Fields, 
    790 N.W.2d 791
    , 793 (Iowa 2010).          We give respectful consideration to the
    commission’s findings and recommendations, but we are not bound by
    them.    Iowa Supreme Ct. Att’y Disciplinary Bd. v. Lickiss, 
    786 N.W.2d 860
    , 864 (Iowa 2010).      The burden is on the Board to prove attorney
    misconduct by a convincing preponderance of the evidence. Id. “This
    burden is less than proof beyond a reasonable doubt, but more than the
    preponderance standard required in the usual civil case.” Iowa Supreme
    Ct. Bd. of Prof’l Ethics & Conduct v. Lett, 
    674 N.W.2d 139
    , 142 (Iowa
    2004).    It is also a less stringent burden than clear and convincing
    evidence which is “the highest civil law standard of proof.” Iowa Supreme
    Ct. Bd. of Prof’l Ethics & Conduct v. Ronwin, 
    557 N.W.2d 515
    , 517 (Iowa
    1996). If a violation is established, we “may impose a lesser or greater
    sanction than recommended by the commission.” Iowa Supreme Ct. Att’y
    Disciplinary Bd. v. Murphy, 
    800 N.W.2d 37
    , 42 (Iowa 2011); see also Iowa
    Ct. R. 35.11(1).
    The parties’ stipulation of facts is binding. Iowa Supreme Ct. Att’y
    Disciplinary Bd. v. McCarthy, 
    814 N.W.2d 596
    , 601 (Iowa 2012).
    13
    “However, a stipulation is not binding as to a violation or a sanction.” Id.
    Those determinations are ours to make, based on our review of the
    parties’ factual stipulation and the record. Id.; see also Iowa Supreme Ct.
    Att’y Disciplinary Bd. v. McCuskey, 
    814 N.W.2d 250
    , 257 (Iowa 2012)
    (“Although McCuskey did not answer the Board’s complaint and the facts
    alleged therein were therefore properly deemed admitted, we nonetheless
    conduct an independent review of alleged ethical violations.”).
    IV. Review of Alleged Ethical Violations.
    The Board alleged, and the commission found, that Kennedy
    violated a number of our ethical rules. We now consider these alleged
    rule violations.
    A. Rule 32:1.1. “A lawyer shall provide competent representation
    to a client. Competent representation requires the legal knowledge, skill,
    thoroughness,      and   preparation        reasonably   necessary   for   the
    representation.” Iowa R. Prof’l Conduct 32:1.1.
    Competent handling of a particular matter includes inquiry
    into and analysis of the factual and legal elements of the
    problem, and use of methods and procedures meeting the
    standards of competent practitioners.     It also includes
    adequate preparation.       The required attention and
    preparation are determined in part by what is at stake;
    major litigation and complex transactions ordinarily require
    more extensive treatment than matters of lesser complexity
    and consequence.
    Id. cmt. 5. Recently, however, we have treated neglect and incompetent
    representation as separate and distinct issues. We have said:
    To establish an attorney has violated rule 32:1.1, the board
    must prove the attorney did not possess the requisite legal
    knowledge and skill to handle the case or that the attorney
    did not make a competent analysis of the factual and legal
    elements of the matter.
    Iowa Supreme Ct. Att’y Disciplinary Bd. v. Thomas, 
    794 N.W.2d 290
    , 293
    n.2 (Iowa 2011); see also Iowa Supreme Ct. Att’y Disciplinary Bd. v.
    14
    Dunahoo, 
    799 N.W.2d 524
    , 531 (Iowa 2011) (quoting this language from
    Thomas).
    In both Thomas and Dunahoo, we held the Board failed to establish
    a competence violation because the record only established neglect of
    client matters and not substantive lack of competence on a factual or
    legal element. See Dunahoo, 799 N.W.2d at 531 (“The board has only
    shown instances of neglect, and we find the board has not shown by a
    convincing preponderance of evidence that Dunahoo lacked the skill or
    knowledge to handle the bankruptcy and foreclosure matters at issue in
    this proceeding.”); Thomas, 794 N.W.2d at 293 n.2 (“Although the board
    demonstrated Thomas neglected the Cases’ lawsuit by allowing a
    personal distraction to cause him to miss a crucial deadline, there is no
    evidence that Thomas lacked the necessary legal knowledge to handle the
    case or that he failed to properly analyze the substantive elements of the
    case.”).
    Accordingly, we do not find Kennedy violated rule 32:1.1 in
    connection with the Robinson, Manning, Merrill, or Williams matters.
    These are basically neglect situations like Dunahoo and Thomas.
    However, we do find Kennedy violated rule 32:1.1’s competency
    requirement in the Stocks matter. By her own admission at the hearing,
    she was “in over [her] head” in the Stocks case. She brought a dental
    malpractice case even though (as she later stipulated) she had no expert,
    no ability of her client to pay for an expert, and no willingness to pay for
    an expert herself.
    B. Rule 32:1.3.     Rule 32:1.3 requires that “[a] lawyer shall act
    with reasonable diligence and promptness in representing a client.” Iowa
    R. Prof’l Conduct 32:1.3; see also Iowa Supreme Ct. Att’y Disciplinary Bd.
    v. Humphrey, 
    812 N.W.2d 659
    , 664–65 (Iowa 2012) (finding an attorney
    15
    violated rule 32:1.3 when “the only action Humphrey took to represent
    his clients was to send two letters to the claim adjuster” and when the
    attorney failed to respond to repeated text messages and letters from his
    clients).
    Under rule 32:1.3, “an ethical violation does not typically occur
    from one missed deadline, but arises when a lawyer ‘repeatedly fail[s] to
    perform required functions as attorney . . . .’ ” Iowa Supreme Ct. Att’y
    Disciplinary Bd. v. Van Ginkel, 
    809 N.W.2d 96
    , 102 (Iowa 2012) (quoting
    Iowa Supreme Ct. Bd. of Prof’l Ethics & Conduct v. Grotewold, 
    642 N.W.2d 288
    , 293 (Iowa 2002)). In several of these matters, Kennedy consistently
    failed to take necessary actions.    She never filed Merrill’s motion for
    reconsideration, never filed anything with the court in Manning’s
    postconviction relief proceeding, and never even made contact with
    Williams.   Her handling of the Stocks matter was characterized by
    untimely and incomplete discovery responses and other dilatory actions.
    In the Robinson dissolution matter, Kennedy had months to prepare, but
    appeared in court so unprepared that the court was forced to reset trial.
    This constellation of conduct violated rule 32:1.3. See Van Ginkel,
    809 N.W.2d at 100, 102 (finding a violation where an attorney, in a
    probate matter, allowed the estate to remain open almost five years, “well
    in excess of the three-year statutory limitation”); see also Iowa Supreme
    Ct. Att’y Disciplinary Bd. v. Dolezal, 
    796 N.W.2d 910
    , 917 (Iowa 2011)
    (finding a violation where the attorney “went almost two years without
    speaking to [the client], and all attempts at communication after early
    2008 were initiated by [the client]”); Iowa Supreme Ct. Att’y Disciplinary
    Bd. v. Earley, 
    774 N.W.2d 301
    , 307 (Iowa 2009) (finding a rule 32:1.3
    violation where the attorney failed to prepare a final decree in a
    16
    dissolution of marriage matter and failed to respond to several clients in
    different matters).
    C. Rule 32:1.4. Rule 32:1.4 requires, among other things, that
    an attorney “keep the client reasonably informed about the status of the
    matter” and “promptly comply with reasonable requests for information.”
    Iowa R. Prof’l Conduct 32:1.4(a)(3)–(4).    Kennedy violated this rule as
    well.
    In one instance, Kennedy never communicated with her client,
    Williams, despite his overtures. Kennedy also stipulated that she did not
    adequately communicate with Robinson. Additionally, she failed to tell
    Manning that his postconviction relief application had been dismissed
    due to her failure to file anything with the court.      In that case, she
    admits “the communication just wasn’t there.” The record also indicates
    Kennedy did not adequately communicate with her clients in the Merrill
    and Stocks matters.       This conduct falls significantly short of keeping
    clients “reasonably informed” and thus violates rule 32:1.4. See Dolezal,
    796 N.W.2d at 917 (finding a rule 32:1.4 violation where attorney
    repeatedly failed to respond to client and client initiated all attempts at
    communication); Thomas, 794 N.W.2d at 292 (finding attorney violated
    rule 32:1.4 where he waited about five months after matter was
    dismissed to tell his clients “because he was embarrassed by his
    conduct”).
    D. Rule 32:3.2.     Rule 32:3.2 requires Iowa attorneys to “make
    reasonable efforts to expedite litigation consistent with the interests of
    the client.” Iowa R. Prof’l Conduct 32:3.2. Kennedy failed to show up
    prepared for a dissolution trial (Robinson), did not bring a motion for
    reconsideration she was hired to file (Merrill), did not file anything in two
    postconviction relief proceedings (Manning and Williams), and failed to
    17
    respond to discovery requests (Stocks).     The Robinson trial had to be
    rescheduled; several matters had to be restarted with new counsel. This
    is the type of conduct we have held to violate rule 32:3.2. See McCarthy,
    814 N.W.2d at 606 (concluding an attorney who failed to serve timely
    interrogatory answers violated rule 32:3.2); Iowa Supreme Ct. Att’y
    Disciplinary Bd. v. Cunningham, 
    812 N.W.2d 541
    , 548 (Iowa 2012)
    (“Cunningham failed to appear at hearings and failed to participate in
    discovery in a timely manner.        Failing to appear at hearings and
    participate in discovery does not constitute a reasonable effort to
    expedite litigation and therefore violates rule 32:3.2.”); Dolezal, 796
    N.W.2d at 914–15 (finding a rule 32:3.2 violation where an attorney
    failed to meet appellate deadlines, resulting in dismissal); Iowa Supreme
    Ct. Att’y Disciplinary Bd. v. Hoglan, 
    781 N.W.2d 279
    , 283–84 (Iowa 2010)
    (finding a rule 32:3.2 violation where an attorney repeatedly failed to
    prosecute several appeals in different client matters).   Accordingly, we
    conclude Kennedy violated rule 32:3.2.
    E. Rule 32:3.4. Rule 32:3.4 governs fairness to opposing counsel
    and forbids lawyers from “fail[ing] to make a reasonably diligent effort to
    comply with a legally proper discovery request by an opposing party.”
    Iowa R. Prof’l Conduct 32:3.4(d). Kennedy violated this rule.
    In the Stocks matter, Kennedy now admits through the parties’
    factual stipulation that she “evaded the defendant’s attorney’s attempts
    to ascertain the identity and opinions of plaintiff’s expert.”            This
    information    had   been   sought   by   opposing   counsel    through    an
    interrogatory as authorized by rule 1.508.           Kennedy’s persistent
    noncompliance fell short of being “reasonably diligent” and thus violated
    rule 32:3.4.
    18
    F. Rule 32:8.2(a). Rule 32:8.2(a) states, “A lawyer shall not make
    a statement that the lawyer knows to be false or with reckless disregard
    as to its truth or falsity concerning the qualifications or integrity of a
    judge, adjudicatory officer, or public legal officer . . . .” Iowa R. Prof’l
    Conduct 32:8.2(a). The Board alleged, and the commission found, that
    Kennedy violated this rule by sending the accusatory letter to the
    attorney general in the Flores matter.
    In Iowa Supreme Court Attorney Disciplinary Board v. Weaver, a
    case decided under the former Iowa Code of Professional Responsibility,
    we discussed at length the degree of scienter required when a lawyer is
    alleged to have committed an ethical violation by making a false
    accusation against a judicial officer. 
    750 N.W.2d 71
    , 80–82 (Iowa 2008).
    After extensive analysis, we concluded an objective recklessness test met
    constitutional standards and best served the interests of justice.                   Id.
    Thus, we rejected the notion that the attorney had to have had subjective
    doubts about the truth of what he was saying, as is required in the
    normal defamation context. Id.1
    In concluding that false, objectively reckless statements could be
    the subject of discipline, we quoted at length from and relied heavily
    upon a Minnesota Supreme Court decision—In re Disciplinary Action
    Against Graham, 
    453 N.W.2d 313
     (Minn. 1990).                       See Weaver, 750
    1[R]eckless conduct is not measured by whether a reasonably prudent
    man would have published, or would have investigated before publishing.
    There must be sufficient evidence to permit the conclusion that the
    defendant in fact entertained serious doubts as to the truth of his
    publication. . . . [T]he actual malice standard require[s] a high degree of
    awareness of . . . probable falsity.
    Barreca v. Nickolas, 
    683 N.W.2d 111
    , 123 (Iowa 2004) (citation and internal
    quotation marks omitted (discussing what is necessary to show actual malice in
    a defamation case)).
    19
    N.W.2d at 81. Graham involved Minnesota’s counterpart to rule 32:8.2(a)
    and concerned an attorney who falsely accused judicial officers and a
    county attorney of “fixing” a case. See Graham, 453 N.W.2d at 317–19.
    The Minnesota Supreme Court determined that because different
    interests were protected by professional discipline and by the law of
    defamation, an attorney who made untrue statements concerning
    judicial and public legal officers could violate the ethical rules so long as
    the attorney had acted with objective recklessness, regardless of his or
    her subjective intent. Id. at 322; see also Weaver, 750 N.W.2d at 81.
    Like the Minnesota Supreme Court in Graham, we see no reason to
    distinguish between judicial officers and public legal officers in applying
    rule 32:8.2(a). False criticism of both has the same potential to adversely
    affect the administration of justice and bring the legal system into unfair
    disrepute. Rule 32:8.2(a) addresses both sets of officials in tandem and
    does not suggest that the same operative language—i.e., “with reckless
    disregard as to its truth or falsity”—should have different meanings
    within the same rule.
    In her January 27, 2010 letter to the attorney general, Kennedy
    accused the Polk County Attorney’s office of “using pressure, including
    the use of drugs, to elicit some damaging testimony against Mr. Flores,
    by any means.” She specifically charged that office with “breaking down”
    a particular witness, through mental and physical abuse, who had
    refused to testify against Flores. An exhaustive investigation found these
    contentions were without basis, and she has now stipulated they were
    false. Also, we find these statements relate to the “integrity” of a public
    officer. See Iowa R. Prof’l Conduct 32:8.2(a).
    Utilizing the objective test set forth in Weaver, we also find
    Kennedy made these statements with a reckless disregard for their truth
    20
    or falsity. For one thing, at the commission hearing, Kennedy admitted
    she should not have written the letter and that she “didn’t use good
    judgment.”      While she continued to claim she had some source of
    information for these accusations, as before, she refused to disclose what
    that source was. She also said, “What I wanted was an investigation. I
    didn’t mean to accuse anybody and that’s the way it came out.”                We
    conclude on our de novo review that Kennedy did not have “an
    objectively reasonable basis” for her false attacks on the integrity of
    public officers in the January 27, 2010 letter. See Weaver, 750 N.W.2d
    at 90. Accordingly, we find Kennedy violated rule 32:8.2(a).
    G. Rule 32:4.1(a).        Rule 32:4.1(a) states, “In the course of
    representing a client, a lawyer shall not knowingly . . . make a false
    statement of material fact or law to a third person.”          Iowa R. Prof’l
    Conduct 32:4.1(a). The Board contends that Kennedy violated this rule
    in connection with the Flores matter.        The term “knowingly” denotes
    “actual knowledge of the fact in question.”         Iowa R. Prof’l Conduct
    32:1.0(f) (defining knowingly); see also Van Ginkel, 809 N.W.2d at 105.
    Thus, to establish a violation of this rule, the Board must prove by a
    convincing preponderance of the evidence that Kennedy actually knew
    her accusations were untrue.
    On our de novo review, we are not persuaded Kennedy knew in
    January 2010 that what she was saying about the Polk County
    Attorney’s office (and the attorney general’s office) was false. Kennedy
    was suffering from mental health conditions, and it appears that this
    affected her judgment and perspective in significant ways. Both parties
    stipulated that Kennedy’s statements and accusations in the Flores
    matter were “misguided by her misconception related to her mental
    instability.”    To   the   extent   her   statements   were   the   result   of
    21
    “misconception” related to “mental instability,” this tends to undermine
    the proposition that she knowingly lied. We do not find a violation of rule
    32:1.4(a).
    H. Rule 32:8.4(c). “It is professional misconduct for a lawyer to
    ...   engage    in   conduct    involving   dishonesty,   fraud,   deceit,   or
    misrepresentation.”      Iowa R. Prof’l Conduct 32:8.4(c).         The Board
    maintains Kennedy violated rule 32:8.4(c) in connection with her letter to
    the attorney general in the Flores matter and in her representation of
    Rusty Stocks. Because we have already found the misrepresentations in
    Kennedy’s January 2010 letter violated rule 32:8.2(a), we will not
    address whether they also violated rule 32:8.4(c). See Iowa Supreme Ct.
    Att’y Disciplinary Bd. v. Netti, 
    797 N.W.2d 591
    , 605 (Iowa 2011) (“When
    we find conduct violates a specific provision involving dishonesty, fraud,
    deceit, or misrepresentation, we will not find the same conduct violates
    rule 32:8.4(c).”); see also Iowa Supreme Ct. Att’y Disciplinary Bd. v.
    Hearity, 
    812 N.W.2d 614
    , 621 (Iowa 2012); Iowa Supreme Ct. Att’y
    Disciplinary Bd. v. Parrish, 
    801 N.W.2d 580
    , 587 (Iowa 2011).
    We turn, then, to Kennedy’s conduct during her representation of
    Stocks. Here, we are not convinced that any misstatements by Kennedy
    to opposing counsel regarding whether she had received counsel’s
    discovery requests rise above the level of negligence. See Iowa Supreme
    Ct. Att’y Disciplinary Bd. v. Rhinehart, 
    827 N.W.2d 169
    , 182 (Iowa 2013)
    (stating that to establish a violation of rule 32:8.4(c), the Board must
    prove the lawyer acted with a “ ‘level of scienter that is greater than
    negligence’ ”(quoting Netti, 797 N.W.2d at 605)).     Therefore, we do not
    find a violation of rule 32:8.4(c).
    I. Rule 32:1.15.       Rule 32:1.15 deals with the safekeeping of
    property:
    22
    (a) A lawyer shall hold property of clients or third
    persons that is in a lawyer’s possession in connection with a
    representation separate from the lawyer’s own property.
    Funds shall be kept in a separate account. Other property
    shall be identified as such and appropriately safeguarded.
    Complete records of such account funds and other property
    shall be kept by the lawyer and shall be preserved for a
    period of six years after termination of the representation.
    ....
    (c) A lawyer shall deposit into a client trust account
    legal fees and expenses that have been paid in advance, to
    be withdrawn by the lawyer only as fees are earned or
    expenses incurred.
    ....
    (f) All client trust accounts shall be governed by
    chapter 45 of the Iowa Court Rules.
    Iowa R. Prof’l Conduct 32:1.15.       Iowa Court Rule 45.7, which is
    incorporated into rule 32:1.15, governs advance fees paid to attorneys.
    That rule states in relevant part,
    A lawyer accepting advance fee or expense payments must
    notify the client in writing of the time, amount, and purpose
    of any withdrawal of the fee or expense, together with a
    complete accounting. The attorney must transmit such
    notice no later than the date of the withdrawal.
    Iowa Ct. R. 45.7(4).
    In the course of representing Nathan Merrill, Kennedy accepted a
    $500 retainer from Merrill’s stepfather.   Kennedy states she took the
    $500 as compensation for work performed, and she notified Merrill she
    was doing this, while admitting she did not provide the accounting
    required by rule 45.7(4).
    During the hearing before the commission, the Board noted that it
    suspected Kennedy engaged in some trust account violation in the
    Merrill matter, but that it could not be sure because Kennedy did not
    provide the Board with an accounting or correspondence with her client.
    23
    At the same time, the Board admitted “we have not dug into it as much
    as we could have.” Without more evidence, we cannot find any violation
    beyond a failure to provide a complete accounting. See Dunahoo, 799
    N.W.2d at 532–33 (“We find the record lacks sufficient detail to discern
    the amount or type of work Dunahoo performed before withdrawing fees
    from his trust account in these matters.”).
    J. Rule 32:8.1(b). Rule 32:8.1(b) makes it an ethical violation for
    an attorney in connection with a disciplinary matter to “knowingly fail to
    respond to a lawful demand for information from . . . [a] disciplinary
    authority.” Iowa R. Prof’l Conduct 32:8.1(b). Kennedy admits she did
    not respond to the Board’s requests for information in the Merrill and
    Manning matters. “If the respondent fails to respond, we may infer from
    the circumstances that the respondent knowingly failed to respond.”
    Iowa Supreme Ct. Att’y Disciplinary Bd. v. Marks, 
    814 N.W.2d 532
    , 540
    (Iowa 2012) (finding that an attorney who failed to respond to the Board’s
    complaint violated rule 32:8.1(b)). We determine Kennedy violated rule
    32:8.1(b). See McCarthy, 814 N.W.2d at 610 (finding an attorney violated
    rule 32:8.1(b) by failing to respond to the Board’s notices).
    K. Rule 32:8.4(d). An attorney violates rule 32:8.4(d) when she
    or he “engage[s] in conduct that is prejudicial to the administration of
    justice.” Iowa R. Prof’l Conduct 32:8.4(d).
    An attorney’s conduct is prejudicial to the administration of
    justice when it violates the well-understood norms and
    conventions of the practice of law such that it hampers the
    efficient and proper operation of the courts or of ancillary
    systems upon which the courts rely.
    Rhinehart, 827 N.W.2d at 180 (citation and internal quotation marks
    omitted).   We have consistently found violations of this rule where an
    attorney’s conduct “results in additional court proceedings or causes
    24
    court proceedings to be delayed or dismissed.” Id.; see Iowa Supreme Ct.
    Att’y Disciplinary Bd. v. Laing, 
    832 N.W.2d 366
    , 373 (Iowa 2013) (finding
    a violation of rule 32:8.4(d) when attorneys’ claiming of excessive fees
    resulted in additional legal proceedings); Iowa Supreme Ct. Att’y
    Disciplinary Bd. v. Marks, 
    831 N.W.2d 194
    , 200 (Iowa 2013) (finding a
    rule 32:8.4(d) violation based on dilatoriness that placed additional
    burdens on the court). At the same time, we have cautioned against rule
    32:8.4(d) being used as a drift net.       See Iowa Supreme Ct. Att’y
    Disciplinary Bd. v. Templeton, 
    784 N.W.2d 761
    , 768–69 (Iowa 2010)
    (holding the mere act of committing a crime does not violate rule
    32:8.4(d) and emphasizing the rule is intended “to address violations of
    well-understood norms and conventions of practice only” (citation and
    internal quotation marks omitted)).
    We conclude Kennedy engaged in conduct prejudicial to the
    administration of justice as alleged by the Board. Kennedy’s actions (or
    more accurately inactions) led to protracted and otherwise unnecessary
    proceedings in the Robinson, Manning, Stocks, and Williams matters.
    Additionally, in a pending criminal case, Kennedy leveled reckless and
    untrue accusations against her client’s prosecutors.    As a result, law
    enforcement and prosecutorial resources were diverted in a needless
    investigation of Kennedy’s charges. We thus believe Kennedy’s conduct
    in the Flores matter hampered “the efficient and proper operation of . . .
    ancillary systems upon which the courts rely.” Id. at 768 (citation and
    internal quotation marks omitted).
    V. Consideration of Sanction.
    We now must determine what sanction is appropriate given
    Kennedy’s violations of our rules of professional conduct.      “We craft
    appropriate sanctions based upon each case’s unique circumstances,
    25
    although prior cases are instructive.” Iowa Supreme Ct. Att’y Disciplinary
    Bd. v. Kallsen, 
    814 N.W.2d 233
    , 239 (Iowa 2012).
    We have repeatedly held that the goal of our ethical
    rules is to maintain public confidence in the legal profession
    as well as to provide a policing mechanism for poor
    lawyering. Important considerations include the nature of
    the violations, protection of the public, deterrence of similar
    misconduct by others, the lawyer’s fitness to practice, and
    our duty to uphold the integrity of the profession in the eyes
    of the public. In fashioning the appropriate sanction, we
    look to prior similar cases while remaining cognizant of their
    limited usefulness due to the variations in their facts. Often,
    the distinction between the punishment imposed depends
    upon the existence of multiple instances of neglect, past
    disciplinary problems, and other companion violations,
    including     uncooperativeness      in     the     disciplinary
    investigation. Aggravating and mitigating circumstances are
    also important.
    Humphrey, 812 N.W.2d at 666 (citations and internal quotation marks
    omitted).
    In this case, the Board and Kennedy stipulated to a nonbinding
    recommendation of a six-month suspension. The commission, however,
    concluded a somewhat longer suspension was warranted: “Based upon
    the number of stipulated violations, the nature of those violations, and
    the Respondent’s disciplinary history, the Commission recommends an
    enhanced sanction of an indefinite suspension without the possibility of
    reinstatement for at least one (1) year. . . .”       The commission further
    recommended that reinstatement be conditioned                 upon      Kennedy’s
    (1) providing certification from a mental health professional that she is
    physically    and   mentally   able   to   resume      the   practice    of   law,
    (2) associating with a practicing attorney in good standing who certifies
    that he or she will act as a supervisor of Kennedy’s cases and her trust
    account, and (3) providing proof of professional malpractice insurance.
    We   give    respectful   consideration    to   the   grievance   commission’s
    26
    recommendations concerning sanction but are free to impose a lesser or
    greater sanction. Laing, 832 N.W.2d at 373.
    This case presents both mitigating and aggravating factors.
    Kennedy has been obtaining treatment since September 2011 for mental
    illness that presently renders her unfit to practice law.       We have
    consistently said that “[p]ersonal illnesses, such as depression or
    attention deficit disorder, do not excuse a lawyer’s misconduct but can
    be mitigating factors and influence our approach to discipline.”      Iowa
    Supreme Ct. Att’y Disciplinary Bd. v. Curtis, 
    749 N.W.2d 694
    , 703 (Iowa
    2008). Kennedy is seeking treatment for her conditions. See Marks, 831
    N.W.2d at 201–02 (emphasizing the importance of seeking treatment for
    the illness to be treated as a mitigating factor).
    On the other hand, Kennedy has a significant history of prior
    discipline.   See Iowa Supreme Ct. Att’y Disciplinary Bd. v. Powell, 
    830 N.W.2d 355
    , 359 (Iowa 2013) (noting that in general “prior discipline is
    considered an aggravating factor”). In 2004, Kennedy received a sixty-
    day suspension for neglect of two matters, trust account violations in two
    matters, and a general failure to cooperate with the Board.           Iowa
    Supreme Ct. Bd. of Prof’l Ethics & Conduct v. Kennedy, 
    684 N.W.2d 256
    ,
    260–61 (Iowa 2004). We stated:
    Based primarily on the lack of any prior disciplinary
    action against Kennedy, we conclude a sixty-day suspension
    is warranted in this case. This discipline is consistent with
    our prior cases in the area and the relevant factors we
    consider and is supported by the particular circumstances
    involved in the case. In particular, Kennedy has taken steps
    to eliminate the problems underlying this case and we need
    not be overly concerned with her fitness to practice law
    following the period of suspension.
    Id. at 261. Unfortunately, this was not the end of Kennedy’s difficulties.
    In 2006, Kennedy was publicly reprimanded after failing to respond to
    27
    the Board’s investigation of a probate delinquency.                 (The Board
    ultimately determined there had been no neglect, but had to establish
    the facts by obtaining the file itself directly from the court.)      In 2008,
    Kennedy was publicly reprimanded for neglect, failure to provide
    competent representation, and a trust account violation in a child
    support modification proceeding.      Also in 2008, Kennedy received a
    public reprimand when she disobeyed a court order forbidding her from
    contacting her former foster child without supervision by the department
    of human services.        Additionally, in 2008, Kennedy was privately
    admonished for failing to respond to a Board investigation. Moreover,
    between      2010   and   2012,   Kennedy   has   received   five    temporary
    suspensions for not responding to Board inquiries, one of which does not
    relate to a matter that is the subject of the present disciplinary
    proceeding.
    In addition, Kennedy has twenty years’ experience as an attorney,
    which can be considered an aggravating factor. McCuskey, 814 N.W.2d
    at 258 (“McCuskey’s substantial legal experience is another aggravating
    factor.”).
    Typically, our cases involving attorney neglect result in sanctions
    ranging from a public reprimand to a six-month suspension. Humphrey,
    812 N.W.2d at 666.
    In cases involving multiple instances of neglect, other
    additional violations, or a history of past disciplinary
    problems, however, the sanction has typically involved a
    suspension for some length of time. In cases involving
    neglect in one or two cases and other misconduct such as
    misrepresentations associated with the neglect, the
    suspensions have been in the range of three months. In
    other cases where the pattern of misconduct has been more
    extensive, suspensions have typically been for a longer
    period of time.
    28
    Van Ginkel, 809 N.W.2d at 109 (citation omitted).         “We consider any
    harm to the client caused by the neglect in determining the proper
    sanction.    Additionally, neglect compounded by misrepresentation will
    warrant a more severe sanction because of the critical importance of
    honesty in our profession.” Thomas, 794 N.W.2d at 294 (internal citation
    omitted).
    We have imposed suspensions greater than six months when there
    have been additional, significant violations besides neglect. In McCarthy,
    we suspended an attorney for two years for neglecting the matters of
    multiple clients, making a series of misrepresentations to clients about
    the status of their cases, failing to appear in court, failing to return
    unearned fees, and failing to comply with court orders. McCarthy, 814
    N.W.2d at 610–11.      Unlike here, the Board in McCarthy established
    serious trust account violations. The attorney failed to notify his clients
    about withdrawals, commingled client funds with his own, and failed to
    return unearned fees.       Id. at 610.    Also, there had been multiple
    instances of misrepresentation, a failure to make appearances, and the
    filing of a court document that McCarthy knew contained a forged
    signature.    Id. at 609.    Like Kennedy, McCarthy had a checkered
    disciplinary history; he had been temporarily suspended four times and
    once suspended for six months, admonished four times, and publicly
    reprimanded four times; much of this arose from neglect of client
    matters. Id. at 611.
    In Iowa Supreme Court Attorney Disciplinary Board v. Johnson, we
    suspended for three years the license of an attorney who among other
    things failed to file a bankruptcy petition for a client, failed to respond to
    clients’ telephone calls and requests for information, and failed to provide
    notice to client of termination of the attorney–client relationship.     792
    
    29 N.W.2d 674
    , 681, 684 (Iowa 2010).           Johnson, like Kennedy, severely
    neglected four client matters.       Id. at 684.       Both attorneys failed to
    respond to clients’ phone calls and requests for information on numerous
    occasions. But Johnson involved additional circumstances not present
    here: failure to appear for status conferences, misrepresentation to
    clients, general disregard for court orders, and presentation of an
    ex parte order to a court under false pretenses. Id. at 680. In addition,
    Johnson had a “pattern of charging clients excessive fees . . . and failing
    to return unearned portions of fees.” Id. at 682. Johnson presented no
    mitigating factors. Id.
    Thus, “[w]here neglect is compounded by other serious offenses,
    . . . this court has suspended the license of the offending attorney for
    substantial periods of time. Iowa Supreme Ct. Att’y Disciplinary Bd. v.
    Joy, 
    728 N.W.2d 806
    , 815–16 (Iowa 2007) (gathering cases involving one-
    to three-year suspensions for neglect plus other serious violations). In
    Joy, we suspended for eighteen months the license of an attorney who
    neglected   four    separate     matters    with   a   “persistent   pattern   of
    delinquencies,     missed      deadlines,   and    evasive    and    misleading
    statements.”     Id. at 812.    The attorney had engaged in a pattern of
    misrepresentations to conceal his neglect of files, failed to turn over
    client papers, and failed to respond to the Board’s inquiries. Id. at 814–
    15.
    Attorneys who demonstrate a pattern of neglect, but without other
    serious violations, have received less severe sanctions. In Iowa Supreme
    Court Attorney Disciplinary Board v. Walker, we imposed a six-month
    suspension on an attorney who had neglected multiple clients’ matters.
    
    712 N.W.2d 683
    , 686 (Iowa 2006). Walker failed to communicate with
    clients and neglected three estate matters, one of which resulted in a
    30
    penalty to his client.     Id. at 684.    Walker engaged in some degree of
    misrepresentation to cover up his neglect. Id. at 684–85. We included
    Walker’s depression as a factor which “may influence our approach to
    discipline.” Id. at 686.
    In Iowa Supreme Court Board of Professional Ethics & Conduct v.
    Stein, we suspended an attorney’s license for 180 days after he neglected
    two of his clients’ cases. 
    586 N.W.2d 523
    , 526 (Iowa 1998). The neglect
    in Stein “[wa]s compounded by the false explanations and certifications
    made by Stein to opposing counsel, the district court and our court, all
    in a clear attempt to conceal his neglect of his clients’ cases.”      Id.   It
    appears Stein, unlike Kennedy, made a habit of covering his neglect with
    misrepresentations; however, Stein had no prior disciplinary record and
    his neglect touched fewer matters. Id.
    In Iowa Supreme Court Attorney Disciplinary Board v. Schumacher,
    we considered the proper sanction for an attorney who severely neglected
    three client cases. 
    723 N.W.2d 802
    , 803–04 (Iowa 2006). That case, like
    this one, involved an attorney who failed to respond to multiple clients,
    was not diligent in pursuing essential tasks, and also failed to respond to
    inquiries by the Board. Id. The neglect was “pervasive.” Id. at 805. We
    imposed a six-month suspension. Id.
    In Iowa Supreme Court Board of Professional Ethics & Conduct v.
    Sullins, we suspended for one year the license of an attorney whose
    overall conduct mirrored Kennedy’s—constant and prolonged refusal to
    update clients or act on their behalf. 
    613 N.W.2d 656
    , 657 (Iowa 2000).
    We characterized Sullins’s conduct as follows:
    Although other highly disturbing misconduct is hinted,
    the central theme in this exasperating case is “stonewalling,”
    a stubborn refusal to address a clear duty. Ray Sullins, the
    respondent attorney, seems to have raised procrastination to
    31
    a high art. He plays no favorites. He has consistently
    spurned the inquiries of our board of ethics and conduct in
    exactly the same manner demonstrated with his clients.
    Id. at 656. Sullins, across several client matters, failed to timely respond
    to the Board, failed to answer interrogatories, failed to give his client an
    accounting, and could not provide (or did not keep) a case file. Id. at
    657. He also had a substantial record of prior discipline, did not comply
    with an oral agreement to settle a fee dispute, and failed to return client
    papers and unearned fees. Id.
    In Iowa Supreme Court Attorney Disciplinary Board v. Hauser, we
    suspended an attorney for six months, when the primary violation was
    severe neglect.    
    782 N.W.2d 147
    , 153–54 (Iowa 2010).              Hauser
    abandoned his client without any notification. Id. at 153. Like Kennedy,
    he failed to timely respond to the Board’s inquiries.     Id. at 154.   Like
    Kennedy, he failed to provide an accounting for withdrawn fees and never
    returned any of his client’s retainer. Id. at 152. Hauser acknowledged
    that illness, alcoholism in his case, played a significant part in his
    misconduct. Id. Hauser had a history of three public reprimands for
    neglect of client matters, failure to respond to the board’s inquiries, and
    failure to return a retainer, as well as five suspensions for failing to
    comply with continuing legal education requirements. Id. at 150.
    Upon our review, we agree with the commission’s recommendation
    that Kennedy should receive an indefinite suspension of her license with
    no possibility of reinstatement for one year. This case involves multiple
    instances of neglect. Kennedy’s inactions caused financial harm to one
    client and resulted in other matters being dismissed or delayed.
    Furthermore, in one matter, Flores, Kennedy committed a different
    species of misconduct by recklessly leveling groundless charges against
    public officers.   And Kennedy had already amassed a substantial
    32
    disciplinary record, including a sixty-day suspension primarily for
    neglect. The confidence we placed in her in 2004, when we said that
    “Kennedy has taken steps to eliminate the problems underlying this case
    and we need not be overly concerned with her fitness to practice law
    following the period of suspension,” was clearly misplaced. See Kennedy,
    684 N.W.2d at 261. We are sympathetic to Kennedy’s recognition of and
    her efforts to obtain treatment for her health disorders. To some extent
    this mitigates the effect of the prior disciplinary record. Still, we believe a
    one-year suspension is necessary to achieve the goals of the disciplinary
    system and be consistent with our prior cases.
    We also agree with the commission that prior to any reinstatement,
    Kennedy must provide an evaluation from a licensed mental health
    professional verifying her fitness to practice law. See Marks, 831 N.W.2d
    at 203 (imposing a similar condition); Cunningham, 812 N.W.2d at 553
    (same); Iowa Supreme Ct. Att’y Disciplinary Bd. v. Axt, 
    791 N.W.2d 98
    ,
    103 (Iowa 2010) (conditioning reinstatement on treatment for depression
    and chemical dependency). However, we decline to require that Kennedy
    be supervised by a practicing attorney in good standing as a condition of
    reinstatement. See Johnson, 792 N.W.2d at 683 (declining to impose this
    condition and noting the absence of effective machinery for such
    supervision).    Likewise, we decline to require proof of malpractice
    insurance, a condition that could seemingly be imposed in many
    attorney disciplinary cases, but which we have not utilized since 2004.
    See, e.g., Iowa Supreme Ct. Bd. of Prof’l Ethics & Conduct v. Honken, 
    688 N.W.2d 812
    , 822 (Iowa 2004).
    VI. Disposition.
    For the foregoing reasons, we suspend Kennedy’s license to
    practice law in this state for an indefinite period without the possibility of
    33
    reinstatement for at least one year. This suspension applies to all facets
    of the practice of law. See Iowa Ct. R. 35.13(3). Kennedy must comply
    with Iowa Court Rule 35.23 regarding the notification of clients and
    counsel.
    Upon any application for reinstatement, Kennedy must establish
    that she has not practiced law during the suspension period and that
    she has in all ways complied with the requirements of Iowa Court Rule
    35.14. Prior to any application for reinstatement, Kennedy must provide
    the Board with an evaluation by a licensed mental health professional
    verifying her fitness to practice law. The costs of this action are taxed to
    Kennedy pursuant to Iowa Court Rule 35.27.
    LICENSE SUSPENDED.