Alencar, Alisson Carvalho de2026-11-102026-11-102026https://repositorio.unialfa.com.br/handle/123456789/857This paper analyzes the application of the principle of human dignity in security measures for people with mental disorders in conflict with the law, focusing on the performance of the Comprehensive Care Program for Mentally Ill Offenders (PAILI). The study starts from the understanding that madness has historically been associated with social exclusion, dangerousness, and confinement, especially when related to the penal system. In this context, forensic psychiatric hospitals and Custody and Psychiatric Treatment Hospitals consolidated practices marked by segregation, loss of social ties, and violation of fundamental rights. The study discusses the Brazilian Psychiatric Reform, especially from Law No. 10.216/2001, as a landmark in overcoming the hospital-centric model and affirming care in freedom. It then examines PAILI as an experience aimed at humanizing the execution of security measures, through open-environment monitoring, articulation with the Psychosocial Care Network, and the construction of individualized therapeutic projects. This work is qualitative in nature, with a bibliographic and documentary approach. It is inferred that PAILI represents an important alternative to the custodial model, as it promotes treatment more compatible with human dignity, social reintegration, and human rights, although its effectiveness depends on strengthening public policies, expanding the care network, and overcoming the logic of dangerousness.ptdignidade da pessoa humana; medida de segurança; louco infrator; PAILI; Reforma Psiquiátrica.Dignidade da pessoa humana e cumprimento da medida de segurança: o papel do Programa de Atenção Integral ao Louco Infrator (PAILI)