I think the real issue is not whether antipsychotics work or not (they work), but:

1) whether patients should be forced to take them (which is a complex ethical issue, not exactly a scientific question about efficacy, although efficacy is relevant)

https://www.bbc.com/news/stories-56097028

2) Whether treatment alternatives other than medications should be made available, developed, researched for patients with psychosis, both for patients who do not desire medications as well as for patients who do (they absolutely should be)

3) Whether patients & the public have access to the best available scientific evidence about the benefits & risks of antipsychotic medications (both short-term & long-term) as well as risks & benefits of no treatment, & the uncertainty in our knowledge base

4) Whether mental health policies represent meaningful input from the patients, service users & their families, in addition to the scientific & the legal communities

5) Going back to 1), at the heart, this debate is not about medication or no medication; this is about coercion & choice, which requires the framework of human rights, ethics, & democracy (not RCTs), & where different groups & societies can come up with different answers.