
Well, they say the first step is knowing you have a problem, but then you actually have to do something about it. Amy Winehouse apparently understands her need to return to rehab (and hopefully for more than a two-week clean-her-up dust-her-off make-the-junkie-pretty-for-the-cameras stay this time):
The singer is said to be close to returning to rehab, and has reportedly admitted that “she needs to check into rehab again”.
A source told The Sun: “There are too many temptations for her in the UK — people around her in London are making it impossible for her to stay clean for any length of time.
“Her management had considered flying her to a clinic in Israel but are now looking further afield. They are assessing a clinic in Cape Town in South Africa.”
Look, I don’t care if they fly her to Penguin Rehab Center in Antarctica, just get her out of London and into rehab somewhere, now. Her previous two-week vacation spa treatment rebab stint was just to get her cleaned up and prettied up for the Grammys, but in terms of lasting effect it was obviously destined for fail. But while getting her to an out-of-town/state/country/continent rehab is probably a good idea, at some point she will have to return home if she plans on continuing to live near her Blake Incarcerated-Druggie, who’s visiting hours she recently missed. That’s the problem facing all recovering addicts…returning to daily life after rehab is over.
And it doesn’t look like her face is clearing up either:
[T]he heavy make-up could not hide the unsightly scabs on her face which some sources have blamed on her ‘drug-taking’ lifestyle.
The award-winning singer is in desperate shape and the pan-stick make-up failed to conceal the spots and scabs on her wrinkled cheeks, chin and nose.
Amy’s spokesman has insisted she is suffering from the bacterial skin infection impetigo - which is highly contagious and can develop by repetitive scratching of a sore.
He said the 24-year-old has been put on a course of antibiotics to clear it up.
But friends fear the scabs on her face are a sign that her drinking and drug taking is once again spiralling out of control.
Amy, if you do indeed have impetigo, do everyone in London a favor…STAY HOME UNTIL IT CLEARS UP. Nobody wants your nawsty, scabby germs, okay? How selfish do you have to be? I mean, it’s not a personal thing…if it is in fact impetigo, that is highly contagious, and nobody else wants it!

Friends blame multiple sources for her facial problems, including drugs, medications, and diet:
Miss Winehouse’s spokesman has insisted she is suffering from the bacterial skin infection impetigo - which is highly contagious and can develop by repetitive scratching of a sore.
He said the 24-year-old has been put on a course of antibiotics to clear it up.
But friends fear the scabs on her face are a sign that her drinking and drug taking is once again spiralling out of control.
Her love of junk food has also not helped the condition of her skin. She was pictured emerging from a fast-food outlet with fish and chips and a bottle of Lucozade.
A source said: “Her friends are worried these sores have been caused by an excessive use of crack cocaine, which can cause these kind of blemishes.
“Pete Doherty used to have similar sores under his nose.
“Her skin also suffers because Amy takes in barely any nutrients. Fruit and vegetables never pass her lips.” […]
Another source said: “When Blake was in solitary confinement recently they both started self harming again.
“It is like some kind of pact to show how much they love each other.”
Sally Penford, of the International Dermal Institute, said: “This is very much what impetigo looks like. However your skin mirrors what is going on inside your body.
“If you are taking medication, or you are not getting any nutrients and toxins are not being flushed out of the body, it will show on the skin.”
Amy is a self-confessed junk-food junkie, and loves her crisps, candy, fish-n-chips, and KFC. It’s true what is said about the skin being a mirror of what goes on inside our bodies…just this week, as I’ve been dealing with the flu and all its assorted deliciousness, my skin has looked dull and lifeless and I’ve had a few breakouts. That always happens when I get sick. But I also haven’t been eating right this week (or much at all, for that matter), so that hasn’t helped my skin either. I don’t even take drugs, outside of OTC flu medication…I can’t even imagine what one would have to ingest to cause this sort of reaction to one’s skin, if indeed that is what it is, and not impetigo.
If it isn’t impetigo and it is some sort of reaction to illegal drugs, then she must be in more serious trouble than anyone thought. Her lips alone show there is a problem…dry and scabby, they look like she possibly is dehydrated. All told, it’s a far, far cry from what she looked like at the Grammy Awards just a couple of months ago.

It’s interesting to me how her family were always pictured with her in the weeks leading up to the Grammys, but they are nowhere to be found now. Yes, they could be working in private to get her help, and I sincerely hope they are. It’s just that before the Grammys, they preferred to do their good deeds before men. Perhaps her going out with her scabs and her carved-up arms, presumably from self-harming, is a desperate and possibly unconscious cry for help. You’ll notice in the photo above, taken just before the Grammys, she is wearing longer sleeves even though there were no marks to cover up, but now that she has marked up her arms (see previous photos), she’s got on short sleeves, with her scabs on display for everyone to see.
I hope something is done soon, before we’re writing her obituary. That would be sad, indeed.