This is the full and final report of Phase 2 (2023–2025) of the Digital Lifelines Scotland (DLS) programme. Led by the Digital Health & Care Innovation Centre (DHI), the evaluation assesses the contribution of digital inclusion efforts on improving outcomes for people at high risk of drug-related harm. Using a mixed-methods approach, the report explores service accessibility, digital literacy, wellbeing, stigma reduction, and system-level impacts. It provides detailed analysis, key findings, and recommendations for embedding digital approaches into health, social care, and community services. This report is supported by a series of appendices provided in the Supporting Evidence Report.