Celebrity Rehab

Demi Lovato is getting treatment at a rehab facility where she will remain for an extended period of time ... TMZ has learned.

Sources close to Lovato tell us she was discharged from Cedars-Sinai Medical Center in L.A. Saturday and took a private plane to the facility, which is outside California.

The rehab center is one of the nation's leading facilities for addiction.

TMZ broke the story ... Lovato's team has a plan set in place to scrub the negative people and "yes men" who contributed to Demi's downhill spiral. We're told they enabled her and fueled her addiction for months before the OD that almost killed her.

Demi addressed the OD for the first time Sunday, saying, "I have always been transparent about my journey with addiction. What I've learned is that this illness is not something that disappears or fades with time. It is something I must continue to overcome and have not done yet."

Demi Lovato's team is hell-bent on getting her back to good health and keeping her there ... which is why they plan to help her weed out all of her bad influences.

Sources close to Demi tell us ... there will be a major focus on separating her from toxic people in her life once she gets out of rehab -- including even a distant relative who is believed to have a negative impact on her.

We're told Demi's camp held a meeting this week to discuss sweeping out anyone who doesn't have her best interests in mind ... and decided any partymongers, drug users, or "yes" friends who allow her to get in harm's way won't be tolerated. BTW, we're told one friend in particular is on the hit list.

Our sources say Demi will also be advised to get a new phone number and only give it out to trusted advisers and friends ... and keep negative people at bay.

We broke the story ... Demi's agreed to go to rehab as soon as she's out of the hospital and already has plans with the live-in facility set up.

Demi Lovato has broken her silence on her near-fatal overdose almost two weeks ago, saying she hasn't beaten her addiction ... and wants to focus on sobriety and almost certainly rehab.

The "Sorry Not Sorry" singer posted an open letter on social media Sunday saying ... "I have always been transparent about my journey with addiction. What I've learned is that this illness is not something that disappears or fades with time. It is something I must continue to overcome and have not done yet."

She goes on to thank God for keeping her alive through the ordeal, her fans for their love and support, and the staff at Cedars-Sinai for working diligently to nurse her back to relative health.

She finishes by saying ... "I now need time to heal and focus on my sobriety and road to recovery. The love you have all shown me will never be forgotten and I look forward to the day where I can say I came out on the other side. I will keep fighting."

As we reported, Demi agreed to enter a rehab facility immediately after her release from the hospital. And her message is clear ... she's going to follow through.

Demi Lovato was in such dire condition when she OD'd her assistant thought she was dead, and one of her bodyguards may have saved her life ... TMZ has learned.

Sources with direct knowledge tell TMZ, the bodyguard somehow knew there was an emergency at Demi's home a week ago Tuesday morning, and when he entered the home Demi's assistant was screaming, "She's dead, she's dead!"

We're told the bodyguard rushed to Demi's side and it appeared she was not breathing. Our sources say there was blood on her pillow ... an ominous sign, because it's evidence of hemorrhaging. It appears there was also vomit and her airways may have been clogged.

Our sources say the bodyguard administered some sort of first aid to keep Demi alive before paramedics arrived. Based on what we're told it appears the bodyguard propped Demi up and tried clearing her airway which allowed her to breathe.

As we reported ... when paramedics arrived they administered Narcan, which reverses the effects of an opioid OD.

Our sources say the bodyguard, the assistant and others on Demi's team were aware she had fallen off the wagon months before. As early as Coachella in April, we're told Demi was "way out of it" at French Montana's house party.

Demi Lovato has agreed to go to rehab, and plans have already been made with the facility ... TMZ has learned.

Sources with direct knowledge tell us, Demi's family has squarely raised the issue of rehab with her ... something they delayed for days because of the many complications resulting from the OD. Demi was very sick and her family did not want to upset her with something that might trigger conflict.

We're told she's still at Cedars-Sinai Medical Center, but one source says, "She's getting out any day now." Our sources say there will be no transition ... it's right from Cedars to a live-in rehab facility.

We do not know which facility Demi will enter and whether it's in California or another state.

Luann de Lesseps has been released from rehab after less than 3 weeks, and she says it helped her out ... so she's already preparing to get back to work.

Sources close to the situation tell TMZ ... the 'Real Housewives of New York' star reached out to friends Monday to let them know she was out of her Connecticut rehab facility. She told them she's "doing better" and getting ready for her cabaret gig at The Paramount in Long Island Saturday night.

The show will be her first public appearance since her rehab stint.

We broke the story ... those close to Luann said she fell off the wagon at least 2 weeks before she checked into rehab a few weeks back -- for the second time in less than a year.

Demi Lovato is doing a lot better and the plan is for her to get out of the hospital this week, but she's now faced with a decision ... go to rehab, or lose a lot of the people close to her.

Sources with firsthand knowledge tell TMZ, Demi has stabilized from her overdose -- an OD that was so bad she was in danger of dying -- and her team is making plans to send her to rehab. The decision is ultimately Demi's, and we're told the people closest to her, along with some of the people who work for her, are going to draw a line in the sand -- either go to a facility for help, or lose our number.

At least one key person who works for Demi tells TMZ, they will quit if she doesn't check herself in. As the source said, "She could die if she doesn't, and that's not going to be on my watch that we did nothing."

Demi Lovato is in no shape to talk about going to rehab, even though friends and family say she needs it to save her life.

Sources with firsthand knowledge tell us the people in contact with her have not even broached the subject of rehab, because she's still not out of the woods after her overdose a week ago.

As we reported, she is still very ill, suffering from extreme nausea and a high fever, among other things.

We're told doctors are not even predicting when she might get out of the hospital, so there's still time to discuss. Multiple people who have had contact with Demi tell us they have no idea how she will receive the message that she desperately needs rehab. As one source said, "We just don't know where her head is at."

Demi can't be forced to go to rehab ... it will have to be her decision. The good news ... she's been receptive about rehab -- she went there in 2010, although she said at the time it was for an eating disorder. She has also celebrated her sobriety in the past, so from all signs she wants to regain it.

DJ Khaled is confident Demi Lovato will be back entertaining fans before too long because she's getting better, according to him.

We got Khaled Monday in NYC where he was pumping up his new track, "No Brainer," hard. His mood shifted though when we asked about Demi -- whom he worked with for the soundtrack to "A Wrinkle in Time." He was overflowing with positivity and love for Demi.

TMZ broke the story ... Demi's still in the hospital because she's very, very sick following last week's overdose. It might not be easy, but Khaled said, "She's going to get better 'cause God is great."

Demi Lovato is still at Cedars-Sinai Medical Center ... where she's been since OD'ing on drugs last Tuesday. As for why, we're told Demi is very, very sick.

Sources with firsthand knowledge tell TMZ, she is suffering extreme nausea and a high fever, among other things. We're told these are among the "complications" related to the overdose.

As we reported, Demi's OD was so severe her life was in jeopardy. She was unconscious when paramedics arrived at her house and had to be revived with Narcan -- an antidote to an opioid OD.

Demi would not tell EMTs what drug or drugs she had taken, but it appeared to be some sort of opioid.

Doctors have not decided when Demi can be released from the hospital, but one source said, "She is under the care of medical experts and is expected to make a full recovery."

What we don't know ... whether she's inclined to enter a rehab facility when she's released. We know the people around her want her to go -- she's been on a downhill slide for months -- but ultimately it's Demi's decision.

Demi Lovato could have died Tuesday from her overdose -- it was that serious -- sources connected to the singer tell TMZ.

We're told the 911 call did not come a minute too soon, because Demi was in dire straits. "She could have died," said a source with firsthand knowledge. Demi was unconscious when she was discovered at around 11:30 AM and the 911 call was placed.

TMZ broke the story ... Demi received Narcan to counter the effects of opioids. As we reported, Demi and those who were at the house refused to disclose the drug or drugs that caused her to OD.

TMZ obtained the 911 call ... in which the person at Demi's home asked the dispatcher if the emergency vehicles could come without sirens -- presumably because they wanted to keep the OD on the down-low. The dispatcher informed the caller the sirens would stay on.

Demi remains hospitalized. We're told those around her want her to enter a rehab facility when she's released, but ultimately the decision is squarely hers.

Macklemore offered Demi Lovato some strong words of encouragement because -- as the rapper said at his concert while dedicating a track to her -- he's been there before.

Macklemore was performing at Xfinity Center in Massachusetts Tuesday night when he dedicated "Otherside" to Demi following news she'd been hospitalized for an overdose. The 2009 track touches on drug addiction and what it's like to fall into a seemingly hopeless downward spiral.

Macklemore -- who went to rehab at 25 -- called addiction a disease "that ties us addicts together." He called Demi his "sister in recovery" and added he knows what it's like to slip. The Seattle rapper not only dedicated the track to Demi, but to anyone else struggling with addiction.

The stars of the 'Real Housewives of New York City' say they feel bad Luann de Lesseps is missing their reunion taping for rehab ... but they're staying positive.

We got a few 'RHONY' cast members heading into Cipriani in NYC Tuesday to film their season 10 reunion episode, and our photog asked about Luann's absence.

Ramona Singer says all the housewives feel bad, but adds they'll be okay without her. Tinsley Mortimer offered Luann well-wishes and Sonja Morgan says Luann will be missed.

As we reported ... the countess had been spiraling out of control weeks before announcing she was entering rehab for a second time in less than a year.

Luann de Lesseps going back into rehab might have shocked fans, but the people closest to her knew she was only pretending to be sober for weeks now ... TMZ has learned.

Sources close to the 'Real Housewives' star tell us she fell off the wagon at least 2 weeks before Bethenny Frankel announced her 'RHONY' pal was reentering a rehab facility -- the second time in less than year.

We're told friends point to a July 2 pic Luann posted with her ex-husband, declaring she'd been sober for 6 months -- no small feat for someone in recovery.

However, the very next day things fell apart rather publicly at a charity event in the Hamptons. Our sources say Luann made a late and noisy entrance -- disrupting a piano performance -- then was seen hitting up the bar, and hitting on several guys in a very touchy-feely way.

We're told friends think there are a number of reasons she slipped. One being her Christmas Eve arrest in Florida, but more recently she was sued by her 2 adult children for allegedly screwing them out of a trust.

It appears Demi Lovato has relapsed after 6 years of sobriety ... at least based on the lyrics in her new single.

The singer -- who struggled with bouts of cocaine addiction -- dropped the surprise track, "Sober" Thursday and sings, "Momma I'm so sorry. I'm not sober anymore. And daddy, please forgive me for the drinks spilled on the floor. To the ones who never left me, we've been down this road before. I'm so sorry, I'm not sober anymore."

Demi also seems to apologize to fans with the lyrics, "I wanna be a role model, but I'm only human." She also assures her fans there's no quit in her, and she will seek the help she needs.

It is possible she's singing about a past time in her life. We've reached out to her reps to get clarification, but haven't heard back yet.

9:32 PM PT -- Brandon just responded to his dad's post ... "I thank my Dad for paying for my treatment. It's the best thing he has ever done for me. Today I am almost two years sober. Every day that goes by I feel ever more grateful. My clear mind has allowed me to do a lot with this time. So much so that I would like to offer to pay for his treatment."

Tommy Lee is taking the most disgusting shot yet in the war with his son, Brandon Lee -- bitching about all the money he's spent on raising him ... including the tab for rehab.

The Motley Crue drummer says he spent $130k to get Brandon treatment, another $40k on his 21st birthday ... and $10k on his own medical bills after Brandon knocked him out earlier this year. Tommy's finishing touch -- "Son acting like a victim on social media on father's day: Priceless."

Dad's clearly still fuming over the fact Brandon posted video on Father's Day showing Tommy out cold after their fight back in March -- but Dad's tweet takes it to a really ugly level.

Brandon's never gone public with any substance abuse issues, so IF it's true ... his own father just outed him. Not to mention the whole people in glass houses thing -- Tommy's battled addiction in the past, and even gone to rehab himself.

He might have locked up Dad of the Year, though, with the last braggadocious line of his angry tweet. Mic drop? Nice touch.