This document discusses guidelines for reducing chronic harms from substance use through early intervention, prevention, detection, treatment, and rehabilitation. It outlines strategies for screening and brief interventions by frontline healthcare workers to identify problematic substance use and associated physical, mental, and social harms. Screening should assess medical history, high-risk behaviors, mental health, social support systems, and impact on families. The goal is to help those at risk of harm and refer them to early treatment and support services.